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

KELLY NICOLE RICHARDSON, LCSW-C

Active Sole Proprietor

KELLY NICOLE RICHARDSON, LCSW-C is a Mental Health Counselor healthcare provider located in GWYNN OAK, Maryland. NPI 1558769661 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · GWYNN OAK, MD

Registration Details

NPI Number
1558769661
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2014 (11.668390294657 yrs)
Last Updated
Apr 30, 2019
Licenses
781387 (MD)
17243 (MD)
Sole Proprietor
Yes

Practice Information

Address
6707 WHITESTONE RD
GWYNN OAK, MD, 212074106
Browse MD providers · Browse ZIP 21207
Phone
4102658737
Fax
4102651258
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in GWYNN OAK, MD

Name Credential NPI
MICHAEL LOCKMAN 1982001590
RAVEN SPADY LCSW-C 1700263142
JACOB ELIAS SINGER LMSW 1396309209
KAYLA GRIFFIN 1093459679
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.