Individual
ELIZABETH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
200 HAWTHORNE AVE SE STE A130, SALEM, OR 97301-0074
(541) 900-4285
Mailing address
272 NW MEDICAL LOOP STE E, ROSEBURG, OR 97471-5545
(541) 900-4285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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