STACY RICHARDSON

WAVERLY, OH
NPI1902561954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
STACY RICHARDSON
14532 ST. RT. 32
WAVERLY, OH 45690
Phone number: 740-947-2364
Mailing Address
STACY RICHARDSON
135 JESSIE ST
JACKSON, OH 45640-1015
Phone number: 740-285-1139