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Mr. Douglas Ray Richardson, LADC
Counselor in Moore, Oklahoma
NPI 1922328384

Douglas Ray Richardson is a Counselor based in Moore, OK. Douglas Ray Richardson practices in Moore, OK and has the professional credentials of LADC. The NPI Number for Douglas Ray Richardson is 1922328384 and holds a License No. 714 (Oklahoma).

The current practice location address for Douglas Ray Richardson is 1340 N Eastern Ave, Moore, OK and can be reached out via phone at 405-517-7679 and via fax at 405-831-8506. You can also correspond with Douglas Ray Richardson through the mailing address at 1340 N EASTERN AVE, MOORE, OK - 73160-5742 (mailing address contact number: 405-517-7679).

Location: 1340 N Eastern Ave, Moore, OK, 73160-5742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922328384
Provider Name
Douglas Ray Richardson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1340 N Eastern Ave, Moore, OK, 73160-5742
Phone Number
405-517-7679
Fax Number
405-831-8506
Provider Enumeration Date
06/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 N Eastern Ave
City
Moore
State
Oklahoma
Zip
73160-5742
Phone Number
405-517-7679
Fax Number
405-831-8506
person
Provider Business Mailing Address Details
Address
1340 N Eastern Ave
City
Moore
State
Oklahoma
Zip
73160-5742
Phone Number
405-517-7679
Fax Number
405-831-8506
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
714 (Oklahoma)
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.
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