Loredonna Nilla Richard | Tacoma, WA • PECOS Search

Loredonna Nilla Richard

Counselor

Behavioral Health & Social Service Providers

1201 S Proctor St, Tacoma, WA 98405-2047

PECOS Enrollment

Based on the most recent information from CMS, provider Loredonna Nilla Richard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1982888350
Provider Type
Individual
Full Name
Richard, Loredonna Nilla
Credential
ASSOCIATES DEGREE

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/20/2007
Last Updated
12/20/2007

Contact Information

Practice Location

1201 S Proctor St, Tacoma, WA 98405-2047

Unlisted Fax

Mailing Location

1201 S Proctor St, Tacoma, WA 98405-2047

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License RC00030378 Washington