Individual
JENNA RACHELE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(888) 884-4913
Mailing address
14476 OLD STATE ROAD 37, TELL CITY, IN 47586-8620
(812) 719-8509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
07/08/2024
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