Individual provider · Type 1 NPI

William Richardson

Mental Health Counselor · Jackson, MS

NPI number 1194494328 Active

Practice location

5422 Clinton Blvd
Jackson, MS 39209-3050

Mailing address

218 Pecan Park Dr
Ridgeland, MS 39157-2816

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194494328

William Richardson's National Provider Identifier is 1194494328, issued on Sep 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Sep 10, 2021.