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RENEE MARIA RICHARDSON

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1912497124

Individual Registrant:
 RENEE MARIA RICHARDSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
168 ANTIOCH RD  LITTLE HOCKING, OH 45742-5059 US
Tel: 740-989-0257  Fax: --

Contact information for business:
168 ANTIOCH RD  LITTLE HOCKING, OH 45742-5059 US
Tel: 740-989-0257  Fax: --

Registration Information:
NPI: 1912497124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
OHCDCA.164135

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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