Individual provider · Type 1 NPI

Michael Theodore Richardson

Peer Specialist · Nampa, ID

NPI number 1477336923 Active

Practice location

824 17th Ave S Ste 5
Nampa, ID 83651-4781

Call (208) 901-9274 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1477336923

Michael Theodore Richardson's National Provider Identifier is 1477336923, issued on Aug 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Nampa, ID. The record was last updated on Aug 17, 2023.