| Doctor Name: | RACHEL RICHARDSON |
| NPI Number: | 1013377860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0701006244 |
| Business Practice Address: | 7460 Central Business Park Dr Norfolk, VA - 235132818 |
| Business Phone Number: | 7576446391 |
| Business Fax Number: | |
| Mailing Address: | 2307 Wake Forest St, Apt. B VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234511459 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2016 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701006244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |