Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DAVID RICHARDSON, ED.D, LCPC, CRADC
Active Sole ProprietorDR. MICHAEL DAVID RICHARDSON, ED.D, LCPC, CRADC is a Professional Counselor healthcare provider located in NEW LONDON, Missouri. NPI 1154510196 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · NEW LONDON, MO
Registration Details
- NPI Number
- 1154510196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2007 (18.848170323328 yrs)
- Last Updated
- Jul 8, 2011
- Licenses
-
001395 (MO)180.002197 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12496 OLD 79NEW LONDON, MO, 634592741Browse MO providers · Browse ZIP 63459
- Phone
- 5732482051
- Fax
- 5732482051
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in NEW LONDON, MO
| Name | Credential | NPI |
|---|---|---|
| KIM ROBINSON | LPC | 1033168141 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.