Individual provider · Type 1 NPI

Miketra A. Richardson

Mental Health Counselor · Tupelo, MS

NPI number 1245400258 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 844-1717 Map

Fax (662) 680-5129

Mailing address

139 Brooks Dr
Shannon, MS 38868-9508

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245400258

Miketra A. Richardson's National Provider Identifier is 1245400258, issued on Mar 5, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Mar 5, 2008.