Richardson, Clairissa

Richardson, Clairissa is an sole proprietor health care provider with primary practice located at 340 Magnolia Cir , Tyndall Afb FL 32403-5604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Richardson, Clairissa can be contacted via phone (850) 559-9169.

Contact Information

Primary practice address
340 Magnolia Cir Tyndall Afb FL 32403-5604
Phone: (850) 559-9169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1619488806
LBN Legal business name Richardson, Clairissa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2017
Last updated May 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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