Richard, Jessie

Richard, Jessie is an individual health care provider with primary practice located at 189 W Schrock Rd , Westerville OH 43081-2890. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Richard, Jessie can be contacted via phone (614) 355-7500.

Contact Information

Primary practice address
189 W Schrock Rd Westerville OH 43081-2890
Phone: (614) 355-7500
Fax: (614) 355-7533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X P07893 Ohio

Profile Details

NPI number 1861917163
LBN Legal business name Richard, Jessie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Jun 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861917163 NPPES
Ohio MEDICAID 1473276

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