Search › Ohio › 101YA0400X
Justin Richesson, CDCA, QMHS
NPI 1578353561 · on the registry since 2025 · sole proprietor
Practice
- Address
- 9620 Careys Run Pond Creek Rd
Mc Dermott, OH 45652 - Phone
- (740) 858-6683
- Organisation at this address
- Moving Forward Residential Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Additional practice sites
- 7175 State Route 104, Mc Dermott, OH
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
171M00000X
261QM0801X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-12
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 Ohio