Individual provider · Type 1 NPI
Kenny Wade Richardson, LADC
Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI number
1801223110
Active
Practice location
130 N 39th St
Omaha, NE 68131-2307
Fax (402) 558-7133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 396 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1801223110
Kenny Wade Richardson, LADC's National Provider Identifier is 1801223110, issued on Oct 1, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omaha, NE. The record was last updated on Oct 1, 2013.