Most Relevant Information
Provider Data
NPI Number: | 1003036823 |
Provider Name: | JATUE RICHARDSON BA |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 04/26/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
2157 GREENBRIER ST
CHARLESTON
WV
253119623
Practice Location Phone/Fax
Phone: | 3043445924 |
Fax: | 3043443503 |
Provider Mailing Location
841 VALLEY DR
DUNBAR
WV
250641131
Provider Mailing Phone/Fax
Phone: | 3043445924 |
Fax: |