JACK RICHEY

DANVILLE, IL
NPI1225121510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149004431)
Enumeration Date2006-10-01
Last Update Date2014-05-12
Business Address
-- JACK RICHEY LCSW
311 W.FAIRCHILD STREET PSYCHIATRY/PSYCHOLOGY
DANVILLE, IL 61832
Phone number: 217-431-7898
Mailing Address
-- JACK RICHEY LCSW
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792