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General NPI Number Information
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NPI Number | 1730633512
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Entity Type | Organization
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Legal Business Name | RICHARDS COUNSELING SERVICES
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | 24 WALES ST SUITE 8
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City | RUTLAND
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State | VT
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Zip | 05701-4042
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Country | US
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Telephone | 802-770-8263
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Fax | 802-773-2496
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | RUTLAND
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State | VT
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Zip | 05702-0056
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Country | US
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Telephone | 802-770-8263
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Fax | 802-773-2496
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TRACY E RICHARDS
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Credential | LCMHC
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Telephone | 802-770-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0055057
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License Number State | VT
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