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Nicole Richardson, ME
Mental Health Counselor in Fort Drum, New York
NPI 1801926803

Nicole Richardson is a Mental Health Counselor based in Fort Drum, NY and is specialized in Mental Health. Nicole Richardson practices in Fort Drum, NY and has the professional credentials of ME. The NPI Number for Nicole Richardson is 1801926803 and holds a License No. 39001931A (New York).

The current practice location address for Nicole Richardson is 11050 Mount Belvedere Blvd, Fort Drum, NY and can be reached out via phone at 153-772-2873.

Location: 11050 Mount Belvedere Blvd, Fort Drum, NY, 13602-5438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801926803
Provider Name
Nicole Richardson
Credential
ME
Provider Entity Type
Individual
Gender
Female
Address
11050 Mount Belvedere Blvd, Fort Drum, NY, 13602-5438
Phone Number
153-772-2873
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
200475040 05 IN
institution
Provider Business Practice Location Address Details
Address
11050 Mount Belvedere Blvd
City
Fort Drum
State
New York
Zip
13602-5438
Phone Number
153-772-2873
Fax Number
person
Provider Business Mailing Address Details
Address
11050 Mount Belvedere Blvd
City
Fort Drum
State
New York
Zip
13602-5438
Phone Number
153-772-2873
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
39001931A (Indiana)
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
Mental Health
Taxonomy
101YM0800X
License No.
39001931A (Indiana)
Definition
Definition to come...
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