Individual provider · Type 1 NPI
Mary K. Richard, MA LPC LAT
Addiction (Substance Use Disorder) Counselor · Cheyenne, WY
NPI number
1154491645
Active
Practice location
2310 E 8th St
Cheyenne, WY 82001-5256
Fax (307) 635-7982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 182 (WY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154491645
Mary K. Richard, MA LPC LAT's National Provider Identifier is 1154491645, issued on Nov 9, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cheyenne, WY. The record was last updated on Apr 15, 2011.