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Individual

DANIELLE RICHMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 HALIFAX ST # 2A, EMPORIA, VA 23847-1711
(434) 233-4986
(804) 823-2746
Mailing address
771 EASTWOOD DR, NORTH CHESTERFIELD, VA 23236-2678
(704) 968-7654
(804) 823-2746

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
MEDICAID
Enumeration date
02/06/2019
Last updated
02/06/2019
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