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NPI Code Detail

MEDICARE: MISS NIAH RICHARDSON LPC

MEDICARE: MISS NIAH RICHARDSON LPC
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
1101YP2500XProfessional Counselor0701012572VA

General Provider Information

NPI Number : 1881288413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NIAH RICHARDSON LPC
Provider Business Mailing Address
First Line : 3060 WILLIAMS DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 200
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-5210
Country : US
Telephone Number : 508-663-3852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2021
Last Update Date : 12/18/2023

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Directions to “ MISS NIAH RICHARDSON LPC” Practice Location

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