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Individual

JAMIE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
228 S MAIN AVE, SCRANTON, PA 18504-2545
(570) 904-7363
Mailing address
439 NEW MARKET ST, WILKES BARRE, PA 18702-6424
(570) 468-9140

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/04/2024
Last updated
06/04/2024
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