Individual provider · Type 1 NPI

Tracy Richardson

Mental Health Counselor · Shreveport, LA

NPI number 1164934535 Active

Practice location

351 W 79th St
Shreveport, LA 71106-4819

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164934535

Tracy Richardson's National Provider Identifier is 1164934535, issued on Oct 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Oct 25, 2017.