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Dr. Percival George Ricketts, EDD,LMHC
Mental Health Counselor in Pembroke Pines, Florida
NPI 1053397471

Percival George Ricketts is a Mental Health Counselor based in Pembroke Pines, FL and is specialized in Mental Health. Percival George Ricketts practices in Pembroke Pines, FL and has the professional credentials of EDD,LMHC. The NPI Number for Percival George Ricketts is 1053397471 and holds a License No. MH6153 (Florida).

The current practice location address for Percival George Ricketts is 10031 Pines Blvd, Pembroke Pines, FL and can be reached out via phone at 954-438-5661.

Location: 10031 Pines Blvd, Pembroke Pines, FL, 33024-6179
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Provider Profile Details
NPI Number
1053397471
Provider Name
Percival George Ricketts
Credential
EDD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
10031 Pines Blvd, Pembroke Pines, FL, 33024-6179
Phone Number
954-438-5661
Fax Number
Provider Enumeration Date
12/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH6153 01 FL STATE LICENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
10031 Pines Blvd
City
State
Zip
33024-6179
Phone Number
954-438-5661
Fax Number
person
Provider Business Mailing Address Details
Address
10031 Pines Blvd
City
State
Zip
33024-6179
Phone Number
954-438-5661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH6153 (Florida)
Definition
Definition to come...
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