| Doctor Name: | RACHELLE DENISE RICHARDSON |
| NPI Number: | 1568873750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | KY-1372 |
| Business Practice Address: | 503 Watson Rd Erlanger, KY - 410181556 |
| Business Phone Number: | 8598352573 |
| Business Fax Number: | 8597276327 |
| Mailing Address: | 6361 Pembroke Dr, INDEPENDENCE |
| State: | KY |
| Postal Code: | 410518415 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2014 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | KY-1372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |