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NPI Code Detail

MEDICARE: ROCHELLE RICHARDSON MS ED

MEDICARE: ROCHELLE RICHARDSON MS ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.2606025OH
21041C0700XClinical Social WorkerS.1701075OH

General Provider Information

NPI Number : 1235659764
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE RICHARDSON MS ED
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Provider Business Practice Location Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 01/06/2026

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Directions to “ ROCHELLE RICHARDSON MS ED” Practice Location

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