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Ms. Rita Jean Richardson, MEDLPCMHSP
Professional Counselor in Erwin, Tennessee
NPI 1972607679

Rita Jean Richardson is a Professional Counselor based in Gray, TN and is specialized in Professional. Rita Jean Richardson practices in Erwin, TN and has the professional credentials of MEDLPCMHSP. The NPI Number for Rita Jean Richardson is 1972607679 and holds a License No. LPC1721 (Tennessee).

The current practice location address for Rita Jean Richardson is 218 N Main Ave, Erwin, TN and can be reached out via phone at 423-743-1470 and via fax at 423-743-1472. You can also correspond with Rita Jean Richardson through the mailing address at 1167 SPRATLIN PARK DR, GRAY, TN - 37615-6205 (mailing address contact number: 423-467-3600).

Location: 218 N Main Ave, Erwin, TN, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972607679
Provider Name
Rita Jean Richardson
Credential
MEDLPCMHSP
Provider Entity Type
Individual
Gender
Female
Address
218 N Main Ave, Erwin, TN, 37615-6205
Phone Number
423-743-1470
Fax Number
423-743-1472
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4098444 01 MAGELLAN SUMMIT
351654200 01 DOL WORKERS COMP
010150132 05 VA
4098444 01 MAGELLAN NAVIGATOR
620582605 01 THREE RIVERS PROVI GROUP
4098444 01 MAGELLAN PINNACLE
institution
Provider Business Practice Location Address Details
Address
218 N Main Ave
City
Erwin
State
Tennessee
Zip
37650
Phone Number
423-743-1470
Fax Number
423-743-1472
person
Provider Business Mailing Address Details
Address
218 N Main Ave
City
Erwin
State
Tennessee
Zip
37650
Phone Number
423-743-1470
Fax Number
423-743-1472
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1721 (Tennessee)
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
Professional
Taxonomy
101YP2500X
License No.
LPC1721 ()
Definition
Definition to come...
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