Individual
SHANA J RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
122 N STATE ST, NORTH VERNON, IN 47265-1724
(812) 953-1181
Mailing address
737 N MADISON AVE, NORTH VERNON, IN 47265-1145
(812) 767-0838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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