Dustin Richardson, LCPC

NPI #1073052445 in Glen Burnie, Maryland

Provider Information

NPI Number: 1073052445
Entity Type: Individual
Name: Dustin Richardson, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Feb 18, 2017
Last Updated: Feb 18, 2017

Practice Location

Address: 1406 CRAIN HWY S STE 104
City: Glen Burnie
State: Maryland
ZIP Code: 21061-4086
Phone: (410) 766-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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