Individual
RICKIE BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 COLLEGE DR, TEXARKANA, TX 75501
(903) 255-1241
(903) 223-8407
Mailing address
2435 COLLEGE DR, TEXARKANA, TX 75501
(903) 255-1241
(903) 223-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11135
LCDC
TX
Enumeration date
07/25/2016
Last updated
07/25/2016
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