Individual
MR. JONATHAN MICHAEL RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHC INTERN
Contact information
Practice address
661 WOODWARD AVE APT 1L, RIDGEWOOD, NY 11385-2214
(847) 504-6534
Mailing address
661 WOODWARD AVE APT 1L, RIDGEWOOD, NY 11385-2214
(847) 504-6534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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