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Jessica Brooke Ricks
Mental Health Counselor in Fuquay Varina, North Carolina
NPI 1568191021

Jessica Brooke Ricks is a Mental Health Counselor based in Fuquay Varina, NC and is specialized in Mental Health. Jessica Brooke Ricks practices in Fuquay Varina, NC. The NPI Number for Jessica Brooke Ricks is 1568191021 and holds a License No. A17660 (North Carolina).

The current practice location address for Jessica Brooke Ricks is 201 E Academy St, Fuquay Varina, NC and can be reached out via phone at 919-980-5312.

Location: 201 E Academy St, Fuquay Varina, NC, 27526-2248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568191021
Provider Name
Jessica Brooke Ricks
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 E Academy St, Fuquay Varina, NC, 27526-2248
Phone Number
919-980-5312
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A17660 01 NC STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
201 E Academy St
City
Fuquay Varina
State
North Carolina
Zip
27526-2248
Phone Number
919-980-5312
Fax Number
person
Provider Business Mailing Address Details
Address
201 E Academy St
City
Fuquay Varina
State
North Carolina
Zip
27526-2248
Phone Number
919-980-5312
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A17660 (North Carolina)
Definition
Definition to come...
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