Individual
GRETCHEN ELIZABETH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
342 GRIEB RD, WALLINGFORD, CT 06492-2512
(203) 640-0178
(203) 793-7152
Mailing address
342 GRIEB RD, WALLINGFORD, CT 06492-2512
(203) 640-0178
(203) 793-7152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
006456
CT
101YM0800X
Mental Health Counselor
006456
CT
104100000X
Social Worker
006456
CT
1041C0700X
Clinical Social Worker
Primary
006456
CT
Other
Enumeration date
12/16/2008
Last updated
01/18/2019
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