Dustin Richardson, LCPC | |
1406 Crain Hwy S Ste 104, Glen Burnie, MD 21061-4086 | |
(410) 766-6624 | |
(410) 766-0240 |
Full Name | Dustin Richardson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1406 Crain Hwy S Ste 104, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073052445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC7682 (Maryland) | Primary |
Entity Name | Oasis The Mental Health Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174606057 PECOS PAC ID: 8527424837 Enrollment ID: O20230511001354 |
Mailing Address | Practice Location Address |
---|---|
Dustin Richardson, LCPC 3643 Childress Ter, Burtonsville, MD 20866-2038 Ph: (410) 938-0636 | Dustin Richardson, LCPC 1406 Crain Hwy S Ste 104, Glen Burnie, MD 21061-4086 Ph: (410) 766-6624 |
Ms. Leslie A Stanbury, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116 | |
Sharon Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Crain Hwy N, Glen Burnie, MD 21061 Phone: 443-768-7235 | |
Tracey Letourneau, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Alview Ter, Glen Burnie, MD 21060 Phone: 443-591-6418 | |
Ms. Traci A. Olivier, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116 | |
Allison Tate Pastine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7401 Ritchie Hwy, Glen Burnie, MD 21061 Phone: 443-250-6653 Fax: 410-740-8068 | |
Tiffany Nicole Huff, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Madison Park Dr, Glen Burnie, MD 21061 Phone: 410-999-0891 | |
Mary Hanauska Ferreira, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Greenway St Nw, Suite 5, Glen Burnie, MD 21061 Phone: 410-760-9079 Fax: 410-760-1121 |