Jacky Richter

NPI #1760647788 in Bemidji, Minnesota

Provider Information

NPI Number: 1760647788
Entity Type: Individual
Name: Jacky Richter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 21, 2008
Last Updated: Jul 21, 2008

Practice Location

Address: 722 15TH ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-2528
Phone: (218) 751-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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