LANECIA RICHARDSON


Address: 135 Paul Drive, San Rafeal, CA 92404
Phone: 5593864323

LANECIA RICHARDSON (NPI# 1366839938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366839938
Entity Type Individual
Full Name LANECIA RICHARDSON
Practice Address 135 Paul Drive
San Rafeal
CA 92404
Mailing Address 417 Carmel Dr
Delano
CA 93215-4911
Practice Telephone 5593864323
Mailing Telephone 6617211403
Enumeration Date 2015-04-22
Last Update Date 2015-04-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CA Behavioral Health & Social Service Providers

Office Location

Street Address 135 PAUL DRIVE
City SAN RAFEAL
State CA
Zip Code 92404

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City SAN RAFEAL
Zip Code 92404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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