Individual
DAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC III
Contact information
Practice address
3622 BELMONT AVE, YOUNGSTOWN, OH 44505-1450
(844) 897-5718
Mailing address
3622 BELMONT AVE, YOUNGSTOWN, OH 44505-1450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161779
OH
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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