Individual
MR. ROBERT MITCHELL RICKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
Mailing address
5540 OLD VALDEZ TRL, SALCHA, AK 99714-9302
(907) 699-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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