MR. Douglas Ray Richardson, LADC

NPI #1922328384 in Moore, Oklahoma

Provider Information

NPI Number: 1922328384
Entity Type: Individual
Name: MR. Douglas Ray Richardson, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LADC
Enumeration Date: Jun 8, 2010
Last Updated: Jun 8, 2010

Practice Location

Address: 1340 N EASTERN AVE
City: Moore
State: Oklahoma
ZIP Code: 73160-5742
Phone: (405) 517-7679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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