Individual
ALEXA MARIE RICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 STEWART AVE STE 408, GARDEN CITY, NY 11530-4701
(516) 280-7285
Mailing address
250 HARRISON AVE, MINEOLA, NY 11501-3943
(973) 865-9269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P05237
NY
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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