Michael K. Richardson

NPI #1366171753 in Orofino, Idaho

Provider Information

NPI Number
1366171753
Entity Type
Organization
Organization Name
Michael K. Richardson
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 9, 2022
Last Updated
Jun 9, 2022

Practice Location

Address
12271 HARTFORD AVE
State
Idaho
ZIP Code
83544-9348
Phone
(208) 471-8079

Authorized Official

Name
MICHAEL KEITH RICHARDSON, LCSW
Title
OWNER/THERAPIST
Phone
(208) 471-8079

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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