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RENEE MARIA RICHARDSON
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1912497124
Individual Registrant: RENEE MARIA RICHARDSON
Gender: F
Not Sole Proprietor
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: --
Tel: 740-989-0257 Fax: --
Contact information for business:
168 ANTIOCH RD LITTLE HOCKING, OH 45742-5059 US
Tel: 740-989-0257 Fax: --
Tel: 740-989-0257 Fax: --
Registration Information:
NPI: 1912497124
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | OH | CDCA.164135 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
