Individual
RICKEY DOVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCDC, LBSW
Contact information
Practice address
1000 N BELT LINE RD, SUITE 102, IRVING, TX 75061-4069
(972) 400-8481
Mailing address
1000 N BELT LINE RD, SUITE 102, IRVING, TX 75061-4069
(972) 400-8481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1526-1000
TX
101Y00000X
Counselor
F17929
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3625
TX
104100000X
Social Worker
22770
TX
Other
Enumeration date
08/21/2009
Last updated
10/24/2010
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