Individual provider · Type 1 NPI
Michael David Richardson, ED.D, LCPC, CRADC
Professional Counselor · New London, MO
NPI number
1154510196
Active
Practice location
12496 Old 79
New London, MO 63459-2741
Fax (573) 248-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001395 (MO) |
| Professional Counselor | 101YP2500X | 180.002197 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in New London
About NPI 1154510196
Michael David Richardson, ED.D, LCPC, CRADC's National Provider Identifier is 1154510196, issued on Oct 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New London, MO. The record was last updated on Jul 8, 2011.