Individual provider · Type 1 NPI

Robert Lewis Richardson

Mental Health Counselor · Altadena, CA

NPI number 1073801155 Active

Practice location

760 Mountain View St
Altadena, CA 91001-4925

Mailing address

760 W Mountain View St
Altadena, CA 91001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Rehabilitation Practitioner 225400000XNone listed

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About NPI 1073801155

Robert Lewis Richardson's National Provider Identifier is 1073801155, issued on Jul 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Altadena, CA. The record was last updated on Jul 11, 2011.