Individual provider · Type 1 NPI

Nicole Richardson, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1609747666 Active

Practice location

16601 N 40th St Ste 216
Phoenix, AZ 85032-3354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-23662 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1609747666

Nicole Richardson, LAC's National Provider Identifier is 1609747666, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 24, 2025.