Individual
ANDRE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(314) 344-6700
(314) 344-6194
Mailing address
1237 SPRINGHURST DR, FLORISSANT, MO 63031-2430
(314) 471-4103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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