Individual provider · Type 1 NPI

Kellie Richards

Mental Health Counselor · San Jose, CA

NPI number 1386923787 Active

Practice location

840 Guadalupe Pkwy
San Jose, CA 95110-1714

Mailing address

210 S 1st St Unit 412
San Jose, CA 95113-2724

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386923787

Kellie Richards's National Provider Identifier is 1386923787, issued on Aug 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 16, 2011.