Individual provider · Type 1 NPI

Stacy D. Richerson

Mental Health Counselor · Muskogee, OK

NPI number 1245368612 Active

Practice location

619 N Main St
Muskogee, OK 74401-4431

Call (918) 682-8407 Map

Mailing address

608 N Virginia St
Muskogee, OK 74403-3636

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245368612

Stacy D. Richerson's National Provider Identifier is 1245368612, issued on Feb 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskogee, OK. The record was last updated on Jul 8, 2007.