Provider Demographics
NPI:1962201129
Name:RICHARDSON-OZUNA, CARRIE
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:RICHARDSON-OZUNA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 31ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-7036
Mailing Address - Country:US
Mailing Address - Phone:701-347-1416
Mailing Address - Fax:
Practice Address - Street 1:525 31ST AVE SW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-7036
Practice Address - Country:US
Practice Address - Phone:701-347-1416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical