MICKALY RICHMOND

PORTLAND, OR
NPI1346908175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2021-11-29
Last Update Date2024-01-22
Business Address
MICKALY RICHMOND
17710 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 971-293-3468
Mailing Address
MICKALY RICHMOND
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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