Michael Theodore Richardson
Michael Theodore Richardson is a Peer Specialist in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
824 17th Ave S Ste 5Nampa, ID 83651-4781
Phone: (208) 901-9274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (ID) |
|---|
Record details
| NPI number | 1477336923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | August 17, 2023 |
| Certification date | August 17, 2023 |
| Mailing address | 824 17th Ave S Ste 5, Nampa, ID 83651-4781 |
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