MEDICARE: AUBREY RICHARDSON MS

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1912572074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY RICHARDSON MS

Provider Business Mailing Address
First Line	:	17330 PRESTON RD STE 200D-219
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5728
Country	:	US
Telephone Number	:	325-244-7598
Fax Number	:

Provider Business Practice Location Address
First Line	:	17330 PRESTON RD STE 200D-219
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5728
Country	:	US
Telephone Number	:	325-244-7598
Fax Number	:

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

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	04/12/2026

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