Individual provider · Type 1 NPI
Stacy Richardson
Addiction (Substance Use Disorder) Counselor · Waverly, OH
NPI number
1902561954
Active
Practice location
14532 St. Rt. 32
Waverly, OH 45690
Mailing address
135 Jessie St
Jackson, OH 45640-1015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902561954
Stacy Richardson's National Provider Identifier is 1902561954, issued on Nov 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Nov 4, 2021.