Provider Demographics
NPI:1689993685
Name:RICHARD, ADRIANNE A (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANNE
Middle Name:A
Last Name:RICHARD
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 LAKEVIEW AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3497
Mailing Address - Country:US
Mailing Address - Phone:978-705-1921
Mailing Address - Fax:
Practice Address - Street 1:1350 LAKEVIEW AVE STE 8
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3497
Practice Address - Country:US
Practice Address - Phone:978-705-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-31
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6445101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health