| NPI | 1598592206 |
|---|---|
| Professional Name | DAHEEM JIHAR RICHARDSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 24-420-142) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |