Most Relevant Information
Provider Data
| NPI Number: | 1003326109 |
| Provider Name: | KIMBERLY M RICHARDS LPC, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | C5608 |
Most Important Dates
| Enumeration Date: | 10/03/2017 |
| Last Updated: | 03/05/2020 |
Provider Practice Location
51340 HIGHWAY 97
LA PINE
OR
977399871
Practice Location Phone/Fax
| Phone: | 5416174779 |
| Fax: |
Provider Mailing Location
2577 NE COURTNEY DR
BEND
OR
977017752
Provider Mailing Phone/Fax
| Phone: | 5413227500 |
| Fax: | 5413227565 |