Individual provider · Type 1 NPI
Michael Keith Richardson, LCSW
Mental Health Counselor · Orofino, ID
NPI number
1780066050
Active
Practice location
12271 Hartford Ave
Orofino, ID 83544-9348
Fax (877) 775-0174
Mailing address
PO Box 381
Orofino, ID 83544-0381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | LCSW-41596 (ID) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Orofino
About NPI 1780066050
Michael Keith Richardson, LCSW's National Provider Identifier is 1780066050, issued on Jun 23, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orofino, ID. The record was last updated on Jun 6, 2022.