Provider Demographics
NPI:1538338462
Name:RICHER, GLORIA ANN (LCPC, CADC, CRC)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:ANN
Last Name:RICHER
Suffix:
Gender:F
Credentials:LCPC, CADC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 PLEASANT ST APT B
Mailing Address - Street 2:
Mailing Address - City:SPRINGVALE
Mailing Address - State:ME
Mailing Address - Zip Code:04083-1129
Mailing Address - Country:US
Mailing Address - Phone:207-324-4411
Mailing Address - Fax:207-324-2449
Practice Address - Street 1:49 PLEASANT ST APT B
Practice Address - Street 2:
Practice Address - City:SPRINGVALE
Practice Address - State:ME
Practice Address - Zip Code:04083-1129
Practice Address - Country:US
Practice Address - Phone:207-324-4411
Practice Address - Fax:207-324-2449
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC3338101YA0400X
MECC2055101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional