Individual
KYLE TIMOTHY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CDPT
Contact information
Practice address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
Mailing address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60883401
WA
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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