Individual
JACQUELINE L RICHIED-RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2172A US ROUTE 127 N, EATON, OH 45320-9289
(937) 456-1915
(937) 456-2208
Mailing address
2172A US ROUTE 127 N, EATON, OH 45320-9289
(937) 456-1915
(937) 456-2208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0001861
OH
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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