OLIVIA Q RICHEY

LA PORTE, IN
NPI1831786532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  99100409A)
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
OLIVIA Q RICHEY
714 LINCOLNWAY
LA PORTE, IN 46350-3353
Phone number: 219-763-8112
Mailing Address
OLIVIA Q RICHEY
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112