Individual
ELLEN ANN RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
8832 HUMBOLDT AVE S, BLOOMINGTON, MN 55431-2053
(507) 338-2668
(612) 416-2101
Mailing address
7809 SOUTHTOWN CTR # 177, BLOOMINGTON, MN 55431-1324
(507) 338-2668
(612) 416-2101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03467
MN
Other
Enumeration date
08/06/2019
Last updated
04/19/2023
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