Alonzo Richardson

NPI #1225346653 in Altadena, California

Provider Information

NPI Number: 1225346653
Entity Type: Individual
Name: Alonzo Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 20, 2010
Last Updated: Sep 20, 2010

Practice Location

Address: 760 MOUNTAIN VIEW ST
City: Altadena
State: California
ZIP Code: 91001-4925
Phone: (626) 798-6793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Rehabilitation Practitioner	225400000X

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