Foster Richardson Mental Health Counseling | |
3238 Village Dr Fairfield OH 45014-8119 | |
(513) 884-2414 | |
Not Available |
Full Name | Foster Richardson Mental Health Counseling |
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Speciality | Social Worker - Clinical |
Location | 3238 Village Dr, Fairfield, Ohio |
Authorized Official Name and Position | Mariella F Richardson (OWNER) |
Authorized Official Contact | 5138842414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foster Richardson Mental Health Counseling 3238 Village Dr Fairfield OH 45014-8119 Ph: () - | Foster Richardson Mental Health Counseling 3238 Village Dr Fairfield OH 45014-8119 Ph: (513) 884-2414 |
NPI Number | 1497202600 |
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Provider Enumeration Date | 09/06/2016 |
Last Update Date | 09/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497202600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1000213 (Ohio) | Primary |
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