Individual
MRS. JESSYCA RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
107 KOONTZ AVE STE 200, CLENDENIN, WV 25045-9581
(304) 548-7272
(304) 548-7149
Mailing address
107 KOONTZ AVE STE 200, CLENDENIN, WV 25045-9581
(304) 548-7272
(304) 548-7149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2417
WV
Other
Enumeration date
05/31/2018
Last updated
05/10/2023
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