Jessica Anne Richards, LPC
Counselor, Professional in Middletown, CT. Individual provider (NPI-1).
NPI number1265779136
StatusActive
Last updated in NPPESJan 11, 2013
Details
- NPI
- 1265779136
- Entity type
- Individual (NPI-1)
- Name
- Jessica Anne Richards
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2013
- Last updated
- Jan 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 002092 | CT | Yes |
Practice location
100 Roscommon DrSuite 203
Middletown, CT 06457-1591
Phone 860-343-5500 · Fax 860-343-5509
Mailing address
100 Roscommon DrSuite 203
Middletown, CT 06457-1591
Phone 860-343-5500 · Fax 860-343-5509
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