Female

Ms. Shirley A. Richardson

Mental Health Counselor in Jacksonville, FL(View on Map)

Full Name

Ms. Shirley A. Richardson

NPI Number

1093882151

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/30/2006

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH 9783

Contact
Information

Purpose

Mailing
Location

Address

6034 CHESTER AVE STE 204
6034 CHESTER AVE STE 204

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32217-2266
32217-2266

Country

US
US

Telephone Number

(904) 564-0518
(904) 564-0518

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/09/2020

Provider Address

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