| Michael Keith Richardson, LCSW | |
|
12271 Hartford Ave, Orofino, ID 83544-9348 | |
| (208) 471-8079 | |
| (877) 775-0174 |
| Full Name | Michael Keith Richardson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 12271 Hartford Ave, Orofino, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780066050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCSW-41596 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Keith Richardson, LCSW Po Box 381, Orofino, ID 83544-0381 Ph: (208) 471-8079 | Michael Keith Richardson, LCSW 12271 Hartford Ave, Orofino, ID 83544-9348 Ph: (208) 471-8079 |
Jacqueline Gingerich, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 107th St, Orofino, ID 83544 Phone: 208-476-7483 Fax: 208-476-3144 | |
Mrs. Joanne Evelyn Deyo, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1275 Riverside Ave, Orofino, ID 83544 Phone: 208-476-7483 | |
Mrs. Linda J Lucas, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Michigan Avenue, Orofino, ID 83544 Phone: 208-476-4440 | |
Mr. Jason Kessinger, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 107th St, Orofino, ID 83544 Phone: 208-476-7483 Fax: 208-476-3144 | |
Lynda Lee Brazeau, CERTIFIED CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1611, Orofino, ID 83544 Phone: 208-476-4440 Fax: 208-476-4441 | |
Ms. Theresa Lynn Graber-gimmeson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Main Street, Orofino, ID 83544 Phone: 208-476-4440 Fax: 208-476-4441 |