Theresa Richards, CDP
Counselor, Addiction (Substance Use Disorder) in Shelton, WA. Individual provider (NPI-1).
NPI number1043767643
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1043767643
- Entity type
- Individual (NPI-1)
- Name
- Theresa Richards
- Credential
- CDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2016
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP60346077 | WA | Yes |
Other names
- Theresa Ryan (Other Name)
Practice location
235 S 3rd StShelton, WA 98584-2255
Phone 360-426-0890
Mailing address
235 South 3rd StreetShelton, WA 98584
Phone 360-426-0890
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All 48 Addiction (Substance Use Disorder) Counselor providers in Shelton · All 803 providers in Shelton
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