Stephen Mark Richardson, LICENSED COUNSELOR

NPI #1598394272 in Camdenton, Missouri

Provider Information

NPI Number: 1598394272
Entity Type: Individual
Name: Stephen Mark Richardson, LICENSED COUNSELOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LICENSED COUNSELOR
Enumeration Date: Apr 5, 2020
Last Updated: Apr 5, 2020

Practice Location

Address: 1923 THUNDER MOUNTAIN RD
City: Camdenton
State: Missouri
ZIP Code: 65020-2846
Phone: (417) 416-8992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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