Individual provider · Type 1 NPI

Nicole Richardson, ME

Mental Health Counselor · Fort Drum, NY

NPI number 1801926803 Active

Practice location

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X39001931A (IN)
Mental Health Counselor Primary 101YM0800X39001931A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1801926803

Nicole Richardson, ME's National Provider Identifier is 1801926803, issued on Mar 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Drum, NY. The record was last updated on Jun 22, 2026.