Individual
STACY RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 205-0098
Mailing address
205 TERRY ST, BOONEVILLE, MS 38829-2220
(662) 603-4869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3063
MS
Other
Enumeration date
10/08/2025
Last updated
10/24/2025
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