Provider Demographics
NPI:1932366721
Name:RICH, JENNIFER DOWNING (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DOWNING
Last Name:RICH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:DOWNING
Other - Last Name:RICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1343 CENTERVILLE LN
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-9746
Mailing Address - Country:US
Mailing Address - Phone:775-782-0488
Mailing Address - Fax:775-782-2622
Practice Address - Street 1:1343 CENTERVILLE LN
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-9746
Practice Address - Country:US
Practice Address - Phone:775-782-0488
Practice Address - Fax:775-782-2622
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0847106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist