| Richardson Counseling Center | |
|
5909 S Adams St Bartonville IL 61607-1983 | |
| (309) 633-1030 | |
| (309) 633-1051 |
| Full Name | Richardson Counseling Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5909 S Adams St, Bartonville, Illinois |
| Authorized Official Name and Position | Charisa R. Richardson (CLINICAL DIRECTOR / OWNER) |
| Authorized Official Contact | 3096331030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richardson Counseling Center 5909 S Adams St Bartonville IL 61607-1983 Ph: (309) 633-1030 | Richardson Counseling Center 5909 S Adams St Bartonville IL 61607-1983 Ph: (309) 633-1030 |
| NPI Number | 1306071261 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 05/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306071261 | NPI | - | NPPES |
| A-6276-0001-A | Other | IL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A-6276-0001-A (Illinois) | Primary |