Taleigh Ricketts BA

NPI 1295170504 - Counselor - 101YA0400X

NPI Details
NPI 1295170504
Gender Female
Enumeration Date 05/01/2013
Last Updated 05/01/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
602 E 5TH ST
MOUNT CARMEL IL, 62863-2152, US
Phone (618) 262-7473
Fax (618) 262-8810
Business Location
OLNEY IL, 62450-4720, US
Phone (618) 395-4506
Fax (618) 395-4507
Taxonomy Code 101YA0400X
License State
License Number
Remove 1295170504 NPI Number

According to our database, Ms. Taleigh Ricketts BA NPI is 1295170504, taxonomy code is 101YA0400X Taleigh Ricketts BA physically located at 602 E 5th St, Mount Carmel IL, 62863-2152. NPI Number Taleigh Ricketts BA has the Individual type.

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1295170504 NPI number is provided on an as is basis without warranty of any kind. 1295170504 is maintained by the National Plan & Provider Enumeration System. The contents of Taleigh Ricketts BA are for informational purposes only.