Jonathan Richards
Counselor, Mental Health in Rochester, NY. Individual provider (NPI-1).
NPI number1104579366
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1104579366
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Richards
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 114458 | NY | Yes |
Practice location
1099 Jay St Bldg JRochester, NY 14611-1153
Phone 585-328-0834
Mailing address
1099 Jay St Bldg JRochester, NY 14611-1153
Phone 585-328-0834
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