Individual provider · Type 1 NPI
Jonathan Richard, LPC
Professional Counselor · Tyler, TX
NPI number
1407469075
Active
Practice location
2702 E 5th St
Tyler, TX 75701-5021
Mailing address
2406 Pinehurst Rd
Columbia, SC 29204-2280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 76905 (TX) |
| Professional Counselor Primary | 101YP2500X | 8708 (SC) |
Professional Counselor: Definition to come...
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About NPI 1407469075
Jonathan Richard, LPC's National Provider Identifier is 1407469075, issued on Aug 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Jun 20, 2025.