| Doctor Name: | ITAMAR RICHMOND |
| NPI Number: | 1053493940 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RC00055494 |
| Business Practice Address: | 7825 N Sound Dr Sedro Woolley, WA - 982847675 |
| Business Phone Number: | 8009037952 |
| Business Fax Number: | |
| Mailing Address: | 3210 Peabody St, ` BELLINGHAM |
| State: | WA |
| Postal Code: | 982251745 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00055494 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |