Individual
LESLI ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED., MA, LLPC
Contact information
Practice address
5242 PLAINFIELD AVE NE STE F, GRAND RAPIDS, MI 49525-1084
(616) 919-6506
Mailing address
11393 PODUNK AVE NE, GREENVILLE, MI 48838-9346
(616) 634-6180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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