Provider Demographics
NPI:1619112737
Name:RICHARDS, JENNIFER SELAH (MS, LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SELAH
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1408 W ABRAM ST
Mailing Address - Street 2:STE 108
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1789
Mailing Address - Country:US
Mailing Address - Phone:469-855-7795
Mailing Address - Fax:469-521-1077
Practice Address - Street 1:1408 W ABRAM ST
Practice Address - Street 2:STE 108
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1789
Practice Address - Country:US
Practice Address - Phone:469-855-7795
Practice Address - Fax:469-521-1077
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX62627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional