Doctor Name: | LINDA RAE RICHARDSON |
NPI Number: | 1003025081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LMHC |
License Number: | LH00005867 |
Business Practice Address: | 9962 Levin Rd Nw Silverdale, WA - 983837720 |
Business Phone Number: | 3606989197 |
Business Fax Number: | 3606929454 |
Mailing Address: | 1291 Ne Hudson St, POULSBO |
State: | WA |
Postal Code: | 983706834 |
Phone Number: | 3606989197 |
Fax Number: | 3606929454 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00005867 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |