Ivanna M Richardson EDD LMFT LPC

NPI 1003904947 - Counselor - 101Y00000X

NPI Details
NPI 1003904947
Gender Female
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12970 W BLUEMOUND RD
#105
ELM GROVE WI, 53122, US
Phone (262) 787-2907
Fax
Business Location
12970 W BLUEMOUND RD
#105
ELM GROVE WI, 53122, US
Phone (262) 787-2907
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Wisconsin
License Number 1685125
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According to our database, Dr. Ivanna M Richardson EDD LMFT LPC NPI is 1003904947, taxonomy code is 101Y00000X and license number is 1685125, license state is located at Wisconsin. Ivanna M Richardson EDD LMFT LPC physically located at 12970 W Bluemound Rd, Elm Grove WI, 53122. NPI Number Ivanna M Richardson EDD LMFT LPC has the Individual type.

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1003904947 NPI number is provided on an as is basis without warranty of any kind. 1003904947 is maintained by the National Plan & Provider Enumeration System. The contents of Ivanna M Richardson EDD LMFT LPC are for informational purposes only.