Richter, Jackie K.

Richter, Jackie K. is an individual health care provider with primary practice located at 212 11Th St S , La Crosse WI 54601-4116. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Richter, Jackie K. can be contacted via phone (608) 392-9555.

Contact Information

Primary practice address
212 11Th St S La Crosse WI 54601-4116
Phone: (608) 392-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15750 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 5179 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5179 Wisconsin

Profile Details

NPI number 1447511183
LBN Legal business name Richter, Jackie K.
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Dec 27th, 2023 - about 3 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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