Ilene Ann Richardson, LCPC

NPI #1427044296 in Onancock, Virginia

Provider Information

NPI Number: 1427044296
Entity Type: Individual
Name: Ilene Ann Richardson, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Sep 27, 2005
Last Updated: Jan 10, 2016

Practice Location

Address: 15262 RUSSELL DR
City: Onancock
State: Virginia
ZIP Code: 23417-3004
Phone: (410) 713-0709

Specialties & Taxonomy Codes

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

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