Emmett Richardson
Counselor, Mental Health in Winston Salem, NC. Individual provider (NPI-1).
NPI number1801551007
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1801551007
- Entity type
- Individual (NPI-1)
- Name
- Emmett Richardson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A16923 | NC | Yes |
Practice location
1144 W 4th StWinston Salem, NC 27101-2402
Phone 336-521-7641
Mailing address
1144 W 4th StWinston Salem, NC 27101-2402
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