ELIJAH RICHARDSON

Counselor

Active Individual
NPI: 1104365998

Practice Address

2535 KETTNER BLVD
SUITE 1A4
San Diego, CA 92101

Phone: (619) 615-0701

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1104365998 is the National Provider Identifier for ELIJAH RICHARDSON, a Counselor provider located in San Diego, CA. This NPI was enumerated on February 14, 2017.
ELIJAH RICHARDSON practices at 2535 KETTNER BLVD, SUITE 1A4, San Diego, CA 92101.

Quick Facts

NPI
1104365998
Type
Individual
Enumerated
Feb 14, 2017
Last Updated
Feb 14, 2017

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