MEDICARE: MS. VANESSA LEE RICHARDSON LMHC

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
1	101YM0800X	Mental Health Counselor	MHC.LH.61280368	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841761665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VANESSA LEE RICHARDSON LMHC

Provider Business Mailing Address
First Line	:	9507 N DIVISION ST STE M2
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1248
Country	:	US
Telephone Number	:	509-939-0598
Fax Number	:	509-368-7876

Provider Business Practice Location Address
First Line	:	9507 N DIVISION ST STE M2
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1248
Country	:	US
Telephone Number	:	509-217-7880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2018
Last Update Date	:	01/05/2026

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