Individual provider · Type 1 NPI

Whitley Richardson

Mental Health Counselor · Jonesboro, AR

NPI number 1659828796 Active

Practice location

2200 E Matthews Ave
Jonesboro, AR 72401-4347

Fax (870) 934-0847

Mailing address

2809 Forest Home Rd
Jonesboro, AR 72401-5320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1804040 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1659828796

Whitley Richardson's National Provider Identifier is 1659828796, issued on Sep 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jonesboro, AR. The record was last updated on Feb 7, 2024.