Individual provider · Type 1 NPI

Keeshma Richardson, LCMHCA, NCC

Mental Health Counselor · Charlotte, NC

NPI number 1629722053 Active

Practice location

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068

Mailing address

PO Box 470783
Charlotte, NC 28247-0783

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA17332 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1629722053

Keeshma Richardson, LCMHCA, NCC's National Provider Identifier is 1629722053, issued on Feb 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Feb 4, 2022.