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1629615323
ANDRE L. RICHARDS
PORTSMOUTH, VA
NPI
1629615323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 710102796)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
Mr. ANDRE L. RICHARDS MAC, SAP, CCS, CSAC
720 RODMAN AVE
PORTSMOUTH, VA 23707-3118
Phone number: 757-749-6119
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Mailing Address
Mr. ANDRE L. RICHARDS MAC, SAP, CCS, CSAC
757 SPENCE CIR
VIRGINIA BEACH, VA 23462-4875
Phone number: 757-749-6119
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