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General NPI Number Information
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NPI Number | 1972046027
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Entity Type | Organization
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Legal Business Name | C RICHARDSON COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 10130 MALLARD CREEK RD STE 207
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City | CHARLOTTE
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State | NC
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Zip | 28262-6003
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Country | US
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Telephone | 980-999-3405
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Fax | 980-999-3550
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Provider Business Mailing Address
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Address Line | 3020I PROSPERITY CHURCH RD # 300
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City | CHARLOTTE
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State | NC
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Zip | 28269-8112
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Country | US
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Telephone | 980-999-3405
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Fax | 980-999-3550
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Authorized Official
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Title or Position | CEO
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Name | MRS. CHERYL ANDREWS
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Credential |
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Telephone | 980-999-3405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-20298
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11153
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License Number State | NC
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