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Individual

MS. CHASTITY MONIQUE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3633 WHEELER RD STE 365, AUGUSTA, GA 30909-6549
(706) 432-6866
Mailing address
3633 WHEELER RD STE 365, AUGUSTA, GA 30909-6549
(706) 432-6866

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
LPC015021
GA

Other

Enumeration date
03/23/2022
Last updated
09/16/2024
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