Doctor Name: | LINDA RICHARDS |
NPI Number: | 1235266990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3224 125 |
Business Practice Address: | 112 Watson St Ripon, WI - 549711327 |
Business Phone Number: | 9208960189 |
Business Fax Number: | 9206943021 |
Mailing Address: | 112 Watson St, RIPON |
State: | WI |
Postal Code: | 549711327 |
Phone Number: | 9208960189 |
Fax Number: | 9206943021 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3224 125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |