Individual provider · Type 1 NPI

Jacqueline Richardson, MSW

Mental Health Counselor · Macon, MS

NPI number 1720744378 Active

Practice location

43 Dr Martin Luther King Jr Dr
Macon, MS 39341-2734

Call (662) 726-5042 Map

Fax (662) 726-5009

Mailing address

1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4910

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720744378

Jacqueline Richardson, MSW's National Provider Identifier is 1720744378, issued on Nov 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macon, MS. The record was last updated on Apr 26, 2023.