JONATHAN RICHARD

TYLER, TX
NPI1407469075
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  76905)
Enumeration Date2020-08-24
Last Update Date2020-08-25
Business Address
JONATHAN RICHARD LPC
1015 TRINITY DR
TYLER, TX 75702-8757
Phone number: 214-886-4244
Mailing Address
JONATHAN RICHARD LPC
1015 TRINITY DR
TYLER, TX 75702-8757
Phone number: 214-886-4244
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