Individual provider · Type 1 NPI

Dominique Richards

Mental Health Counselor · St. Petersburg, FL

NPI number 1700576097 Active

Practice location

940 22nd Ave S
St. Petersburg, FL 33705-2934

Call (727) 327-7656 Map

Mailing address

PO Box 10970
St. Petersburg, FL 33733-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700576097

Dominique Richards's National Provider Identifier is 1700576097, issued on May 10, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on May 10, 2023.