NPI 1063071264

Lesa Richardson

Practitioner Counselor Hoquiam, WA

Practice location

Address: 615 8th St, Hoquiam, WA 98550-3522
Phone: (360) 532-4357
Fax: (360) 538-0124
Mailing address: PO Box 1847, Longview, WA 98632-8140

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 60964770 (WA)

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Registry record

NPI: 1063071264
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2019
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.