Individual
ASHLEY RAE RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAADC CA
Contact information
Practice address
2001 HARBOR BLVD, SUITE 220, COSTA MESA, CA 92627
(310) 993-3214
Mailing address
18881 MORA KAI LN APT 33, HUNTINGTON BEACH, CA 92646-1961
(310) 993-3214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCI04750716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCI04750716
CCAPP
CA
Enumeration date
04/02/2013
Last updated
08/08/2018
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