person
Jessica Nicole Tico
Peer Specialist in Monroe, Louisiana
NPI 1154961258

Jessica Nicole Tico is a Peer Specialist based in Baton Rouge, LA. Jessica Nicole Tico practices in Monroe, LA. The NPI Number for Jessica Nicole Tico is 1154961258 and holds a License No. (Louisiana).

The current practice location address for Jessica Nicole Tico is 4306 S Grand St, Monroe, LA and can be reached out via phone at 913-220-3153. You can also correspond with Jessica Nicole Tico through the mailing address at 8326 KELWOOD AVE, BATON ROUGE, LA - 70806-4803 (mailing address contact number: ).

Location: 4306 S Grand St, Monroe, LA, 70806-4803
person
Provider Profile Details
NPI Number
1154961258
Provider Name
Jessica Nicole Tico
Credential
Provider Entity Type
Individual
Gender
Female
Address
4306 S Grand St, Monroe, LA, 70806-4803
Phone Number
913-220-3153
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4306 S Grand St
City
State
Zip
71202-6322
Phone Number
913-220-3153
Fax Number
person
Provider Business Mailing Address Details
Address
8326 Kelwood Ave
City
State
Zip
70806-4803
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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