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Rita Dyanne Ickert
Peer Specialist in Lacey, Washington
NPI 1821796483

Rita Dyanne Ickert is a Peer Specialist based in Lacey, WA. Rita Dyanne Ickert practices in Lacey, WA. The NPI Number for Rita Dyanne Ickert is 1821796483 and holds a License No. (Washington).

The current practice location address for Rita Dyanne Ickert is 612 Woodland Square Loop Se Ste 401, Lacey, WA and can be reached out via phone at 360-763-5828.

Location: 612 Woodland Square Loop Se Ste 401, Lacey, WA, 98503-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821796483
Provider Name
Rita Dyanne Ickert
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Woodland Square Loop Se Ste 401, Lacey, WA, 98503-1070
Phone Number
360-763-5828
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
612 Woodland Square Loop Se Ste 401
City
Lacey
State
Washington
Zip
98503-1070
Phone Number
360-763-5828
Fax Number
person
Provider Business Mailing Address Details
Address
612 Woodland Square Loop Se Ste 401
City
Lacey
State
Washington
Zip
98503-1070
Phone Number
360-763-5828
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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