Individual
JANE D RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.C.
Contact information
Practice address
2680 W MARKET ST, FAIRLAWN, OH 44333-4215
(234) 867-5001
(234) 867-5002
Mailing address
4335 COPLEY RD, COPLEY, OH 44321-1809
(330) 620-4296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0501051
OH
101YP2500X
Professional Counselor
Primary
C0501051
OH
Other
Enumeration date
01/12/2007
Last updated
12/16/2024
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