Richardson, Jeffrey D

Richardson, Jeffrey D is an individual health care provider with primary practice located at 757 S Main St Suite 8, Fond Du Lac WI 54935-5739. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Richardson, Jeffrey D can be contacted via phone (920) 731-9798.

Contact Information

Primary practice address
757 S Main St Suite 8 Fond Du Lac WI 54935-5739
Phone: (920) 731-9798
Fax: (920) 731-1097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15702-132 Wisconsin
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15702-132 Wisconsin

Profile Details

NPI number 1386988293
LBN Legal business name Richardson, Jeffrey D
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 16th, 2012 - about 14 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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