person
Kenny Wade Richardson, LADC
Addiction (Substance Use Disorder) Counselor in Omaha, Nebraska
NPI 1801223110

Kenny Wade Richardson is an Addiction (Substance Use Disorder) Counselor based in Omaha, NE and is specialized in Addiction (Substance Use Disorder). Kenny Wade Richardson practices in Omaha, NE and has the professional credentials of LADC. The NPI Number for Kenny Wade Richardson is 1801223110 and holds a License No. 396 (Nebraska).

The current practice location address for Kenny Wade Richardson is 130 N 39Th St, Omaha, NE and can be reached out via phone at 402-558-7088 and via fax at 402-558-7133.

Location: 130 N 39Th St, Omaha, NE, 68131-2307
person
Provider Profile Details
NPI Number
1801223110
Provider Name
Kenny Wade Richardson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
130 N 39Th St, Omaha, NE, 68131-2307
Phone Number
402-558-7088
Fax Number
402-558-7133
Provider Enumeration Date
10/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 N 39Th St
City
State
Zip
68131-2307
Phone Number
402-558-7088
Fax Number
402-558-7133
person
Provider Business Mailing Address Details
Address
130 N 39Th St
City
State
Zip
68131-2307
Phone Number
402-558-7088
Fax Number
402-558-7133
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
396 (Nebraska)
Definition
Definition to come...
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