Clyde A Richardson
Pastoral Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)
3210 Eagle Run Dr Suite 200
Grand Rapids
, Michigan 49525
Clyde A Richardson
Pastoral Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)
3210 Eagle Run Dr Suite 200
Grand Rapids
, Michigan 49525
(616) 957-1297
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Mental Health Counselor
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Clyde A Richardson
- 3210 Eagle Run Dr Suite 200
- Grand Rapids, MI
- Zip : 49525
- Fax : (616) 957-1297
- Phone : (616) 957-1200
Second Address
- Clyde A Richardson
- 3210 Eagle Run Dr Suite 200
- Grand Rapids, MI
- Zip : 49525
- Fax : (616) 957-1297
- Phone : (616) 957-1200
Reviews
FAQs
Where did Clyde A Richardson attend graduate school?
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Is Clyde A Richardson board certified?
What type of doctor is Clyde A Richardson
In what state does Clyde A Richardson practice in?
Where is Clyde A Richardson ’s practice located?
What is Clyde A Richardson ’s gender?
Is Clyde A Richardson a sole practitioner?
Is Clyde A Richardson accepting new patients?
What languages does Clyde A Richardson speak?
Does Clyde A Richardson accept insurance?
Does Clyde A Richardson offers telemedicine?
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What is Clyde A Richardson ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 6802067415 | MI |
| N | 101YM0800X | Mental Health Counselor | 6802067415 | MI |
| N | 101YP1600X | Pastoral Counselor | 6802067415 | MI |
National Provider Identifier
| NPI | 1275709826 |
|---|---|
| Provider Name | Clyde A Richardson |
| First Address | Grand Rapids, MI 49525 |
| Second Address | Grand Rapids, MI 49525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2008 |
| Last Update Date | 26/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NONE | NONE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.