Richardson, Kim Adrienne

Richardson, Kim Adrienne is an sole proprietor health care provider with primary practice located at 186 S River Ave Ste 7 , Holland MI 49423-2848. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Richardson, Kim Adrienne can be contacted via phone (312) 882-5067.

Contact Information

Primary practice address
186 S River Ave Ste 7 Holland MI 49423-2848
Phone: (312) 882-5067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-004396 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010578 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801098545 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801098545 Michigan

Profile Details

NPI number 1326305806
LBN Legal business name Richardson, Kim Adrienne
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2012
Last updated Aug 4th, 2023 - about 3 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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