person
Dr. Larry Tyrone Richardson, PHD,LMHC
Mental Health Counselor in Jacksonville, Florida
NPI 1174537369

Larry Tyrone Richardson is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Larry Tyrone Richardson practices in Jacksonville, FL and has the professional credentials of PHD,LMHC. The NPI Number for Larry Tyrone Richardson is 1174537369 and holds a License No. MH-1773 (Florida).

The current practice location address for Larry Tyrone Richardson is 5379 Lenox Ave, Jacksonville, FL and can be reached out via phone at 904-378-9955 and via fax at 904-378-9922.

Location: 5379 Lenox Ave, Jacksonville, FL, 32236-7206
person
Provider Profile Details
NPI Number
1174537369
Provider Name
Larry Tyrone Richardson
Credential
PHD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
5379 Lenox Ave, Jacksonville, FL, 32236-7206
Phone Number
904-378-9955
Fax Number
904-378-9922
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5379 Lenox Ave
City
State
Zip
32205-4737
Phone Number
904-378-9955
Fax Number
904-378-9922
person
Provider Business Mailing Address Details
Address
5379 Lenox Ave
City
State
Zip
32205-4737
Phone Number
904-378-9955
Fax Number
904-378-9922
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH-1773 (Florida)
Definition
Definition to come...
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