Individual
JACQUELINE L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MADISON AVE STE 300, TOLEDO, OH 43604-1257
(567) 312-8700
(567) 312-8700
Mailing address
310 HAYES AVE, FREMONT, OH 43420-3002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165933
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/02/2018
Last updated
05/06/2026
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