Jane D Richard, MA, LPCC | |
2680 W Market St, Fairlawn, OH 44333-4215 | |
(234) 867-5001 | |
(234) 867-5002 |
Full Name | Jane D Richard |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2680 W Market St, Fairlawn, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578613212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E.0501051 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | C0501051 (Ohio) | Primary |
Entity Name | Dgs Ministries Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154904332 PECOS PAC ID: 9638614555 Enrollment ID: O20240715003439 |
Mailing Address | Practice Location Address |
---|---|
Jane D Richard, MA, LPCC 4335 Copley Rd, Copley, OH 44321-1809 Ph: (330) 620-4296 | Jane D Richard, MA, LPCC 2680 W Market St, Fairlawn, OH 44333-4215 Ph: (234) 867-5001 |
Sarah Queen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2680 W Market St, Fairlawn, OH 44333 Phone: 234-867-5001 | |
Mrs. Gayle Rini Telford, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3610 W Market St, Suite 102, Fairlawn, OH 44333 Phone: 440-567-1416 | |
Crissy Ann Kolarik, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 Ridgewood Rd, Fairlawn, OH 44333 Phone: 330-665-1811 | |
Ilona Ponomariova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3313 Lenox Village Dr Unit 131, Fairlawn, OH 44333 Phone: 330-623-5219 | |
Matt Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3632 W Market St Ste 106, Fairlawn, OH 44333 Phone: 419-889-1928 | |
Rebecca S. Baden, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 N Miller Rd, Fairlawn, OH 44333 Phone: 330-867-0066 Fax: 330-867-0056 | |
Joseph Daniel White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3094 W Market St Ste 105, Fairlawn, OH 44333 Phone: 440-260-8300 |