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NPI Code Detail

MEDICARE: CHRISTOPHER RICHARDSON

MEDICARE: CHRISTOPHER RICHARDSON
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.131041OH

General Provider Information

NPI Number : 1831212877
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER RICHARDSON
Provider Business Mailing Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-434-4141
Fax Number :
Provider Business Practice Location Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-434-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 02/17/2021

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Directions to “ CHRISTOPHER RICHARDSON ” Practice Location

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