Doctor Name: | MRS. TONJA LEE ACKER-RICHARDS |
NPI Number: | 1174717052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.L.P. |
License Number: | 6301008885 |
Business Practice Address: | 380 Us Highway 41 Negaunee, MI - 498661326 |
Business Phone Number: | 9064757856 |
Business Fax Number: | |
Mailing Address: | 380 Us Highway 41, NEGAUNEE |
State: | MI |
Postal Code: | 498661326 |
Phone Number: | 9064757856 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301008885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |