Percival George Ricketts ED.D, LMHC

NPI 1053397471 - Counselor - 101YM0800X

NPI Details
NPI 1053397471
Gender Male
Enumeration Date 12/17/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10031 PINES BLVD
#242
PEMBROKE PINES FL, 33024-6179, US
Phone (954) 438-5661
Fax
Business Location
10031 PINES BLVD
#242
PEMBROKE PINES FL, 33024-6179, US
Phone (954) 438-5661
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH6153
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According to our database, Dr. Percival George Ricketts ED.D, LMHC NPI is 1053397471, taxonomy code is 101YM0800X and license number is MH6153, license state is located at Florida. Percival George Ricketts ED.D, LMHC physically located at 10031 Pines Blvd, Pembroke Pines FL, 33024-6179. NPI Number Percival George Ricketts ED.D, LMHC has the Individual type.

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1053397471 NPI number is provided on an as is basis without warranty of any kind. 1053397471 is maintained by the National Plan & Provider Enumeration System. The contents of Percival George Ricketts ED.D, LMHC are for informational purposes only.