| Jennifer Richard Pllc | |
|
320 N 1st St Ste D9 Hamilton MT 59840-3516 | |
| (406) 961-7510 | |
| Not Available |
| Full Name | Jennifer Richard Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 N 1st St Ste D9, Hamilton, Montana |
| Authorized Official Name and Position | Jennifer Haley Richard (OWNER/THERAPIST) |
| Authorized Official Contact | 4069617510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Richard Pllc 116 Daly Ave Hamilton MT 59840-2826 Ph: (406) 961-7510 | Jennifer Richard Pllc 320 N 1st St Ste D9 Hamilton MT 59840-3516 Ph: (406) 961-7510 |
| NPI Number | 1043049000 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 4082146014 |
|---|---|
| Medicare Enrollment ID | O20241016001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043049000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Haley Richard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447843347 PECOS PAC ID: 9931545449 Enrollment ID: I20240306004201 |
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