Individual provider · Type 1 NPI
Mark S. Richmond, LPC
Professional Counselor · Decatur, IL
NPI number
1801043740
Active
Practice location
151 N Main St
Decatur, IL 62523-1206
Fax (217) 362-6290
Mailing address
PO Box 710
Decatur, IL 62525-0710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178-004997 (IL) |
Professional Counselor: Definition to come...
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About NPI 1801043740
Mark S. Richmond, LPC's National Provider Identifier is 1801043740, issued on Aug 22, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Aug 22, 2008.