| NPI | 1104536382 |
|---|---|
| Doing Business As | KIM RICHARDSON THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | KIM ADRIENNE RICHARDSON Lmsw, Lpc 312-882-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-07-08 |