| Jennifer Richards Llc | |
|
804 N College Ave Ste 102 Bloomington IN 47404-3599 | |
| (812) 316-5140 | |
| Not Available |
| Full Name | Jennifer Richards Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 804 N College Ave Ste 102, Bloomington, Indiana |
| Authorized Official Name and Position | Jennifer Richards (OWNER) |
| Authorized Official Contact | 8123165140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Richards Llc 804 N College Ave Ste 102 Bloomington IN 47404-3599 Ph: (812) 316-5140 | Jennifer Richards Llc 804 N College Ave Ste 102 Bloomington IN 47404-3599 Ph: (812) 316-5140 |
| NPI Number | 1124782479 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124782479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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