Search › Missouri › 101YP2500X

Michael Richardson, ED.D, LCPC, CRADC

NPI 1154510196 · on the registry since 2007 · sole proprietor

Practice

Address
12496 Old 79
New London, MO 63459
Phone
(573) 248-2051
Fax
(573) 248-2051
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri