Individual
HEATHER RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CONDITIONAL LCPC
Contact information
Practice address
125 PRESUMPSCOT ST UNIT 9, PORTLAND, ME 04103-5299
(207) 871-1000
Mailing address
7 RICKER PARK APT A3, PORTLAND, ME 04101-1617
(207) 712-6391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL5667
ME
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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