Clyde A Richardson, M DIV CAC-R is an addiction (substance use disorder) counselor in Grand Rapids, MI. Clyde A Richardson, M DIV CAC-R NPI is 1275709826. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3210 EAGLE RUN DR
SUITE 200
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 957-1200
Fax: (616) 957-1297
The enumeration date for this NPI number is 5/5/2008 and was last updated on 6/26/2009.