Individual
BERNAE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
4213 NW 145TH ST, OKLAHOMA CITY, OK 73134-1708
(405) 886-6949
Mailing address
4213 NW 145TH ST, OKLAHOMA CITY, OK 73134-1708
(405) 886-6949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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