| Charles R. Richmond, M.a., Lmft | |
|
4886 Highway 61 N Ste L3 White Bear Lake MN 55110-2858 | |
| (612) 229-1088 | |
| (612) 444-3786 |
| Full Name | Charles R. Richmond, M.a., Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4886 Highway 61 N Ste L3, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Charles R Richmond (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 6122291088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R. Richmond, M.a., Lmft 4886 Highway 61 N Ste L3 White Bear Lake MN 55110-2858 Ph: (612) 229-1088 | Charles R. Richmond, M.a., Lmft 4886 Highway 61 N Ste L3 White Bear Lake MN 55110-2858 Ph: (612) 229-1088 |
| NPI Number | 1992078851 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992078851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT1397 (Minnesota) | Primary |
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