person
Nicole Ping Ticknor, LPC
Professional Counselor in Rockford, Illinois
NPI 1023489853

Nicole Ping Ticknor is a Professional Counselor based in Rockford, IL and is specialized in Professional. Nicole Ping Ticknor practices in Rockford, IL and has the professional credentials of LPC. The NPI Number for Nicole Ping Ticknor is 1023489853 and holds a License No. 178.009354 (Illinois).

The current practice location address for Nicole Ping Ticknor is 433 S. Phelps Ave., Rockford, IL and can be reached out via phone at 815-397-4287 and via fax at 815-397-3136.

Location: 433 S. Phelps Ave., Rockford, IL, 61108
person
Provider Profile Details
NPI Number
1023489853
Provider Name
Nicole Ping Ticknor
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
433 S. Phelps Ave., Rockford, IL, 61108
Phone Number
815-397-4287
Fax Number
815-397-3136
Provider Enumeration Date
10/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
433 S. Phelps Ave.
City
State
Zip
61108
Phone Number
815-397-4287
Fax Number
815-397-3136
person
Provider Business Mailing Address Details
Address
433 S. Phelps Ave.
City
State
Zip
61108
Phone Number
815-397-4287
Fax Number
815-397-3136
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.009354 (Illinois)
Definition
Definition to come...
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