Richards, Mica

Richards, Mica is an sole proprietor health care provider with primary practice located at 455 S Knott St , Canby OR 97013-4426. She 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Richards, Mica can be contacted via phone (503) 386-7044.

Contact Information

Primary practice address
455 S Knott St Canby OR 97013-4426
Phone: (503) 386-7044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457617912
LBN Legal business name Richards, Mica
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2012
Last updated Aug 8th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457617912 NPPES
Washington Other 2161136 PROVIDER ONE ID

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