Individual provider · Type 1 NPI

Jatue Richardson, BA

Addiction (Substance Use Disorder) Counselor · Charleston, WV

NPI number 1003036823 Active

Practice location

2157 Greenbrier St
Charleston, WV 25311-9623

Fax (304) 344-3503

Mailing address

841 Valley Dr
Dunbar, WV 25064-1131

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003036823

Jatue Richardson, BA's National Provider Identifier is 1003036823, issued on Apr 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charleston, WV. The record was last updated on Jul 8, 2007.