Individual
JONATHAN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
15705 GREENDALE RD, MAPLE HEIGHTS, OH 44137-3717
(216) 587-3460
Mailing address
15705 GREENDALE RD, MAPLE HEIGHTS, OH 44137-3717
(216) 587-3460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0500069
OH
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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