KEITH RICHARDSON

SALISBURY, MD
NPI1417250093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC0544)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  C-2739)
Enumeration Date2010-12-21
Last Update Date2010-12-21
Business Address
-- KEITH RICHARDSON
220 E MAIN ST STE A
SALISBURY, MD 21801-5044
Phone number: 410-860-9600
Mailing Address
-- KEITH RICHARDSON
220 E MAIN ST STE A
SALISBURY, MD 21801-5044
Phone number: 410-860-9600