person
Ilene Ann Richardson, LCPC
Professional Counselor in Onancock, Virginia
NPI 1427044296

Ilene Ann Richardson is a Professional Counselor based in Onancock, VA and is specialized in Professional. Ilene Ann Richardson practices in Onancock, VA and has the professional credentials of LCPC. The NPI Number for Ilene Ann Richardson is 1427044296 and holds a License No. LC1278 (Virginia).

The current practice location address for Ilene Ann Richardson is 15262 Russell Dr, Onancock, VA and can be reached out via phone at 410-713-0709 and via fax at 410-546-0264.

Location: 15262 Russell Dr, Onancock, VA, 23417-3004
person
Provider Profile Details
NPI Number
1427044296
Provider Name
Ilene Ann Richardson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
15262 Russell Dr, Onancock, VA, 23417-3004
Phone Number
410-713-0709
Fax Number
410-546-0264
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
412815000 01 MD STATE OF MARYLAND
805688000 01 MD MAGELLAN
7452697 01 MD AETNA
institution
Provider Business Practice Location Address Details
Address
15262 Russell Dr
City
State
Zip
23417-3004
Phone Number
410-713-0709
Fax Number
410-546-0264
person
Provider Business Mailing Address Details
Address
15262 Russell Dr
City
State
Zip
23417-3004
Phone Number
410-713-0709
Fax Number
410-546-0264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC1278 (Maryland)
Definition
Definition to come...
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