person
Mr. Carlos De'wayne Richardson, LPC
Professional Counselor in Birmingham, Alabama
NPI 1083133003

Carlos De'wayne Richardson is a Professional Counselor based in Birmingham, AL and is specialized in Professional. Carlos De'wayne Richardson practices in Birmingham, AL and has the professional credentials of LPC. The NPI Number for Carlos De'wayne Richardson is 1083133003 and holds a License No. C2131A (Alabama).

The current practice location address for Carlos De'wayne Richardson is 100 Century Park S Ste 102, Birmingham, AL and can be reached out via phone at 205-565-6554 and via fax at 888-386-9624.

Location: 100 Century Park S Ste 102, Birmingham, AL, 35226-3922
person
Provider Profile Details
NPI Number
1083133003
Provider Name
Carlos De'wayne Richardson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
100 Century Park S Ste 102, Birmingham, AL, 35226-3922
Phone Number
205-565-6554
Fax Number
888-386-9624
Provider Enumeration Date
09/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46--1731139 05 AL
46-1731139 01 AL OTHER
institution
Provider Business Practice Location Address Details
Address
100 Century Park S Ste 102
City
State
Zip
35226-3922
Phone Number
205-565-6554
Fax Number
888-386-9624
person
Provider Business Mailing Address Details
Address
100 Century Park S Ste 102
City
State
Zip
35226-3922
Phone Number
205-565-6554
Fax Number
888-386-9624
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3843 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2131A (Alabama)
Definition
Definition to come...
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