Doctor Name: | MRS. JENNIFER RICHARDSON |
NPI Number: | 1811354145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW |
License Number: | 7595 |
Business Practice Address: | 48 Public Sq Leitchfield, KY - 427541105 |
Business Phone Number: | 2702590004 |
Business Fax Number: | |
Mailing Address: | 404 Nevis Dr, ELIZABETHTOWN |
State: | KY |
Postal Code: | 427019155 |
Phone Number: | 2703177557 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2016 |
NPI Last Update Date: | 01/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 7595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |