Provider Demographics
NPI:1932317179
Name:RICHTER, JESSICA ELIZABETH (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ELIZABETH
Last Name:RICHTER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 NE RAVENNA BLVD
Mailing Address - Street 2:SUITE #309
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8436
Mailing Address - Country:US
Mailing Address - Phone:206-818-6318
Mailing Address - Fax:
Practice Address - Street 1:444 NE RAVENNA BLVD
Practice Address - Street 2:SUITE #309
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8436
Practice Address - Country:US
Practice Address - Phone:206-818-6318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010817101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health