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NPI Code Detail

MEDICARE: COURTNEY HANNAH RICHARDSON LAC

MEDICARE:   COURTNEY HANNAH RICHARDSON  LAC
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 CounselorLAC-23513AZ

General Provider Information

NPI Number : 1992660815
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY HANNAH RICHARDSON LAC
Provider Business Mailing Address
First Line : 4849 E ROOSEVELT ST APT 1093
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-7342
Country : US
Telephone Number : 480-276-4140
Fax Number :
Provider Business Practice Location Address
First Line : 9801 N METRO PKWY E
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1513
Country : US
Telephone Number : 480-877-9284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ COURTNEY HANNAH RICHARDSON LAC” Practice Location

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