Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KEITH RICHARDSON, LCSW
Active Sole ProprietorMental Health Counselor · OROFINO, ID
Registration Details
- NPI Number
- 1780066050
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2015 (10.868843308939 yrs)
- Last Updated
- Jun 6, 2022
- License
-
LCSW-41596 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12271 HARTFORD AVEOROFINO, ID, 835449348Browse ID providers · Browse ZIP 83544
- Phone
- 2084718079
- Fax
- 8777750174
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in OROFINO, ID
| Name | Credential | NPI |
|---|---|---|
| MR. JASON KESSINGER | L.C.S.W. | 1598939928 |
| MRS. JOANNE EVELYN DEYO | LCSW | 1457623571 |
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.