Robert Richardson
Counselor, Addiction (Substance Use Disorder) in Riverside, CA. Individual provider (NPI-1).
NPI number1609620665
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1609620665
- Entity type
- Individual (NPI-1)
- Name
- Robert Richardson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
10001 County Farm RdRiverside, CA 92503-3507
Phone 909-421-7120
Mailing address
18612 Santa Ana AveBloomington, CA 92316-2639
Phone 909-421-7120
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