CANDICE SHAVON RICHARDSON

SANTA ROSA, CA
NPI1629460290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT85376)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: TX  LMFT202549)
Enumeration Date2015-02-19
Last Update Date2025-02-17
Business Address
CANDICE SHAVON RICHARDSON LMFT
5119 LISA WAY
SANTA ROSA, CA 95409-3744
Phone number: 707-888-2048
Mailing Address
CANDICE SHAVON RICHARDSON LMFT
PO BOX 9329
SANTA ROSA, CA 95405-1329
Phone number: 707-280-3895