Fred Lee Richardson

NPI #1912171828 in Kerrville, Texas

Provider Information

NPI Number: 1912171828
Entity Type: Organization
Organization Name: Fred Lee Richardson
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 22, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 625 CLAY
City: Kerrville
State: Texas
ZIP Code: 78028-4586
Phone: (830) 792-3900

Authorized Official

Name: MR. FRED LEE RICHARDSON, MA,LPC,LCDC,LM&FT
Title: OWNER
Phone: (830) 792-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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