Individual
MRS. FATINA MARIE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3578 W BROAD ST, COLUMBUS, OH 43228-1410
(614) 870-6670
Mailing address
3578 W BROAD ST, COLUMBUS, OH 43228-1410
(614) 870-6670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1300597
OH
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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