Individual provider · Type 1 NPI

Suzanne Richardson, MFT INTERN

Mental Health Counselor · San Rafael, CA

NPI number 1518025501 Active

Practice location

555 Northgate Dr, Family Service Agency Of Marin
San Rafael, CA 94903-3680

Mailing address

PO Box 38
Fairfax, CA 94978-0038

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMF 46087 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1518025501

Suzanne Richardson, MFT INTERN's National Provider Identifier is 1518025501, issued on Dec 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.