Doctor Name: | ANDREA R. RICHMOND |
NPI Number: | 1023116340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAC |
License Number: | 1216 |
Business Practice Address: | 4383 Hecktown Rd Ste A Bethlehem, PA - 180209767 |
Business Phone Number: | 4842930088 |
Business Fax Number: | 4842930228 |
Mailing Address: | 4383 Hecktown Rd Ste A, BETHLEHEM |
State: | PA |
Postal Code: | 180209767 |
Phone Number: | 4842930088 |
Fax Number: | 4842930228 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |