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General NPI Number Information
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NPI Number | 1457490799
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Entity Type | Organization
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Legal Business Name | JS RICHARDS INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9622 SW BUNKER TRL
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City | VASHON
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State | WA
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Zip | 98070-3207
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Country | US
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Telephone | 206-567-4677
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1507
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City | VASHON
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State | WA
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Zip | 98070-1507
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Country | US
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Telephone | 206-567-4677
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. JENEAN S RICHARDS
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Credential | LMHC
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Telephone | 206-567-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH00003651
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License Number State | WA
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