Individual
DWIGHT M. RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
965713
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.965713
OH
101YM0800X
Mental Health Counselor
E.0003239
OH
101YP2500X
Professional Counselor
E.0003239
OH
101YP2500X
Professional Counselor
Primary
E.0003239-SUPV
OH
104100000X
Social Worker
S.0021026
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215462
—
OH
Enumeration date
09/17/2014
Last updated
05/10/2023
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