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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLYDE A RICHARDSON, M DIV CAC-R

Active

CLYDE A RICHARDSON, M DIV CAC-R is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GRAND RAPIDS, Michigan. NPI 1275709826 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · GRAND RAPIDS, MI

Registration Details

NPI Number
1275709826
Provider Type
Individual
Gender
Male
NPI Issued
May 5, 2008 (18.091125196115 yrs)
Last Updated
Jun 26, 2009
Licenses
6802067415 (MI)
6802067415 (MI)
6802067415 (MI)

Practice Information

Address
3210 EAGLE RUN DR
SUITE 200
GRAND RAPIDS, MI, 49525
Browse MI providers · Browse ZIP 49525
Phone
6169571200
Fax
6169571297
Additional Specialty
Mental Health Counselor
Additional Specialty
Pastoral Counselor

Other Addiction (Substance Use Disorder) Counselor Providers in GRAND RAPIDS, MI

Name Credential NPI
ANDREA R ROSEMA MA, LPC, CAADC 1700962263
MR. MICHAEL R. DURCO MA, LLP 1891838157
JOSEPH MCCARTHY LPC 1851420848
MR. RONALD CRAIG SKIDMORE MA, MA, MDIV, LPC 1881811941
JOHN M RHODES 1275740185
MISS SARA PEREZ CAC 1720239031
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.