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Jacqueline Richardson, LPCC
Professional Counselor in Louisville, Kentucky
NPI 1992204465

Jacqueline Richardson is a Professional Counselor based in Louisville, KY and is specialized in Professional. Jacqueline Richardson practices in Louisville, KY and has the professional credentials of LPCC. The NPI Number for Jacqueline Richardson is 1992204465 and holds a License No. 268769 (Kentucky).

The current practice location address for Jacqueline Richardson is 4010 Dupont Cir Ste 419, Louisville, KY and can be reached out via phone at 502-409-6993 and via fax at 502-409-6775.

Location: 4010 Dupont Cir Ste 419, Louisville, KY, 40207-4837
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Provider Profile Details
NPI Number
1992204465
Provider Name
Jacqueline Richardson
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
4010 Dupont Cir Ste 419, Louisville, KY, 40207-4837
Phone Number
502-409-6993
Fax Number
502-409-6775
Provider Enumeration Date
02/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
610661458 01 KY TAX ID
institution
Provider Business Practice Location Address Details
Address
4010 Dupont Cir Ste 419
City
State
Zip
40207-4837
Phone Number
502-409-6993
Fax Number
502-409-6775
person
Provider Business Mailing Address Details
Address
4010 Dupont Cir Ste 419
City
State
Zip
40207-4837
Phone Number
502-409-6993
Fax Number
502-409-6775
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
268769 (Kentucky)
Definition
Definition to come...
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