person
Mr. Kendall Richardson, LADC
Addiction (Substance Use Disorder) Counselor in Waterbury, Connecticut
NPI 1730251240

Kendall Richardson is an Addiction (Substance Use Disorder) Counselor based in Danbury, CT and is specialized in Addiction (Substance Use Disorder). Kendall Richardson practices in Waterbury, CT and has the professional credentials of LADC. The NPI Number for Kendall Richardson is 1730251240 and holds a License No. 000483 (Connecticut).

The current practice location address for Kendall Richardson is 228 Meadow St, Waterbury, CT and can be reached out via phone at 203-597-0643 and via fax at 203-597-0834. You can also correspond with Kendall Richardson through the mailing address at 38 OLD RIDGEBURY RD, DANBURY, CT - 06810-5128 (mailing address contact number: 203-792-4515).

Location: 228 Meadow St, Waterbury, CT, 06810-5128
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Provider Profile Details
NPI Number
1730251240
Provider Name
Kendall Richardson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
228 Meadow St, Waterbury, CT, 06810-5128
Phone Number
203-597-0643
Fax Number
203-597-0834
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008017939 05 CT
institution
Provider Business Practice Location Address Details
Address
228 Meadow St
City
State
Zip
06702-1807
Phone Number
203-597-0643
Fax Number
203-597-0834
person
Provider Business Mailing Address Details
Address
38 Old Ridgebury Rd
City
State
Zip
06810-5128
Phone Number
203-792-4515
Fax Number
203-748-2604
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000483 (Connecticut)
Definition
Definition to come...
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