person
Tina Maria Ricks, LMSW
Mental Health Counselor in Idaho Falls, Idaho
NPI 1487091120

Tina Maria Ricks is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Tina Maria Ricks practices in Idaho Falls, ID and has the professional credentials of LMSW. The NPI Number for Tina Maria Ricks is 1487091120 and holds a License No. LMSW-32947 (Idaho).

The current practice location address for Tina Maria Ricks is 2275 W Broadway St Ste G, Idaho Falls, ID and can be reached out via phone at 208-524-7400.

Location: 2275 W Broadway St Ste G, Idaho Falls, ID, 83402-2902
person
Provider Profile Details
NPI Number
1487091120
Provider Name
Tina Maria Ricks
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
2275 W Broadway St Ste G, Idaho Falls, ID, 83402-2902
Phone Number
208-524-7400
Fax Number
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2275 W Broadway St Ste G
City
State
Zip
83402
Phone Number
208-524-7400
Fax Number
person
Provider Business Mailing Address Details
Address
2275 W Broadway St Ste G
City
State
Zip
83402
Phone Number
208-524-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMSW-32947 (Idaho)
Definition
Definition to come...
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