| Doctor Name: | MRS. JESSICA ALAIN RICHARDS |
| NPI Number: | 1033449897 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I 1101067 |
| Business Practice Address: | 1925 Hayes Ave Sandusky, OH - 448704737 |
| Business Phone Number: | 4195575177 |
| Business Fax Number: | 4195575179 |
| Mailing Address: | 675 Bartson Rd, FREMONT |
| State: | OH |
| Postal Code: | 434209672 |
| Phone Number: | 4193325524 |
| Fax Number: | 4193327581 |
| NPI Enumeration Date: | 12/30/2009 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I 1101067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |