Individual provider · Type 1 NPI

Dustin Richardson, LCPC

Professional Counselor · Glen Burnie, MD

NPI number 1073052445 Active

Practice location

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086

Fax (410) 766-0240

Mailing address

3643 Childress Ter
Burtonsville, MD 20866-2038

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC7682 (MD)

Professional Counselor: Definition to come...

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About NPI 1073052445

Dustin Richardson, LCPC's National Provider Identifier is 1073052445, issued on Feb 18, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Burnie, MD. The record was last updated on Feb 18, 2017.