Individual provider · Type 1 NPI

Jamie L. Richard

Rehabilitation Practitioner · San Leandro, CA

NPI number 1477253151 Active

Practice location

777 Davis St Ste 300
San Leandro, CA 94577-6923

Mailing address

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1477253151

Jamie L. Richard's National Provider Identifier is 1477253151, issued on Mar 9, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 24, 2025.