Individual
TAYLOR JEAN RICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, LADC
Contact information
Practice address
116 3RD ST NW, BEMIDJI, MN 56601-3102
(218) 556-8753
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
305795
MN
Other
Enumeration date
09/22/2020
Last updated
04/14/2022
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