WILLIE RICHARDSON

CLEVELAND HEIGHTS, OH
NPI1942772181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2018-12-28
Last Update Date2018-12-28
Business Address
WILLIE RICHARDSON
3739 MAYFIELD RD APT 101
CLEVELAND HEIGHTS, OH 44121-1751
Phone number: 216-386-6415
Mailing Address
WILLIE RICHARDSON
3739 MAYFIELD RD APT 101
CLEVELAND HEIGHTS, OH 44121-1751
Phone number: 216-386-6415