Individual
NATHAN RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
715 11TH ST N, SUITE 204, MOORHEAD, MN 56560-2083
(218) 233-6398
(218) 236-6765
Mailing address
715 11TH ST N, SUITE 204, MOORHEAD, MN 56560-2083
(218) 233-6398
(218) 236-6765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302904
MN
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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