person
Michael Keith Richardson, LCSW
Mental Health Counselor in Orofino, Idaho
NPI 1780066050

Michael Keith Richardson is a Mental Health Counselor based in Orofino, ID and is specialized in Mental Health. Michael Keith Richardson practices in Orofino, ID and has the professional credentials of LCSW. The NPI Number for Michael Keith Richardson is 1780066050 and holds a License No. (Idaho).

The current practice location address for Michael Keith Richardson is 12271 Hartford Ave, Orofino, ID and can be reached out via phone at 208-471-8079 and via fax at 877-775-0174.

Location: 12271 Hartford Ave, Orofino, ID, 83544-0381
person
Provider Profile Details
NPI Number
1780066050
Provider Name
Michael Keith Richardson
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
12271 Hartford Ave, Orofino, ID, 83544-0381
Phone Number
208-471-8079
Fax Number
877-775-0174
Provider Enumeration Date
06/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12271 Hartford Ave
City
State
Zip
83544-9348
Phone Number
208-471-8079
Fax Number
877-775-0174
person
Provider Business Mailing Address Details
Address
12271 Hartford Ave
City
State
Zip
83544-9348
Phone Number
208-471-8079
Fax Number
877-775-0174
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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