| Michael K. Richardson | |
| 12271 Hartford Ave Orofino ID 83544-9348 | |
| (208) 471-8079 | |
| (877) 775-0174 | 
| Full Name | Michael K. Richardson | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 12271 Hartford Ave, Orofino, Idaho | 
| Authorized Official Name and Position | Michael Keith Richardson (OWNER/THERAPIST) | 
| Authorized Official Contact | 2084718079 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael K. Richardson Po Box 381 Orofino ID 83544-0381 Ph: (208) 471-8079 | Michael K. Richardson 12271 Hartford Ave Orofino ID 83544-9348 Ph: (208) 471-8079 | 
| NPI Number | 1366171753 | 
|---|---|
| Provider Enumeration Date | 06/09/2022 | 
| Last Update Date | 06/09/2022 | 
| Certification Date | 06/09/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366171753 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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