Amber Richardson, LPCC

Individual provider Active NPI Mental Health Counselor · Ignacio, CO

NPI 1497596258 · NPPES record last updated Jun 5, 2024

Key facts

NPI
1497596258
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LPCC.0021681 (CO)
Practice address
3701 County Road 311
Ignacio, CO 81137-9130
Phone
(970) 553-1730
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPCC.0021681COMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0021681 CO Yes

Addresses

Primary practice location

3701 County Road 311
Ignacio, CO 81137-9130

Mailing address

3701 County Road 311
Ignacio, CO 81137-9130
Phone (970) 553-1730

Other providers in Ignacio, CO

All providers in Ignacio, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.