Individual
JONATHAN DAVID RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
108 WILD BASIN RD STE 250, WEST LAKE HILLS, TX 78746-3468
(512) 399-3001
Mailing address
108 WILD BASIN RD STE 250, WEST LAKE HILLS, TX 78746-3468
(512) 399-3001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73226
TX
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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