Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jacquene J Richardson

Individual provider Licensed Psychiatric Technician · NPI 1053699850

Mrs. Jacquene J Richardson is a Licensed Psychiatric Technician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

3875 S Western Ave
Los Angeles, CA 90062-1105
Phone: (323) 290-4373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT36012 (CA)

Record details

NPI number1053699850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESAugust 1, 2011

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