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Jeffrey D Richardson, CSAC
Counselor in Fond Du Lac, Wisconsin
NPI 1386988293

Jeffrey D Richardson is a Counselor based in Germantown, WI. Jeffrey D Richardson practices in Fond Du Lac, WI and has the professional credentials of CSAC. The NPI Number for Jeffrey D Richardson is 1386988293 and holds a License No. 15702-132 (Wisconsin).

The current practice location address for Jeffrey D Richardson is 757 S Main St, Fond Du Lac, WI and can be reached out via phone at 920-731-9798 and via fax at 920-731-1097.

Location: 757 S Main St, Fond Du Lac, WI, 53022-6511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386988293
Provider Name
Jeffrey D Richardson
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
757 S Main St, Fond Du Lac, WI, 53022-6511
Phone Number
920-731-9798
Fax Number
920-731-1097
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
757 S Main St
City
Fond Du Lac
State
Wisconsin
Zip
54935-5739
Phone Number
920-731-9798
Fax Number
920-731-1097
person
Provider Business Mailing Address Details
Address
757 S Main St
City
Fond Du Lac
State
Wisconsin
Zip
54935-5739
Phone Number
920-731-9798
Fax Number
920-731-1097
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15702-132 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15702-132 (Wisconsin)
Definition
Definition to come...
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