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NPI 1942915434

NPI 1942915434 : MADISON N RICHARDSON LPC : HARRISON, AR

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General NPI Number Information
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    NPI Number           |    1942915434
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    Entity Type          |    Individual 
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    Provider Name        |    MADISON N RICHARDSON LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/18/2023
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    716 S PINE ST 
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    City                 |    HARRISON
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    State                |    AR
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    Zip                  |    72601-5830
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    Country              |    US
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    Telephone            |    870-204-6016
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    Fax                  |    870-782-2914
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1131 
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    City                 |    HARRISON
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    State                |    AR
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    Zip                  |    72602-1131
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    Country              |    US
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    Telephone            |    870-204-6016
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    Fax                  |    870-782-2914
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    P2511024
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    License Number State |    AR
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