Individual
JOSEPHINE LYNN RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP00006443
Contact information
Practice address
1336 S 336TH ST, FEDERAL WAY, WA 98003-6348
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006443
WA
Other
Enumeration date
08/15/2018
Last updated
10/05/2021
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