Organization
SOUTHWEST PSYCHOTHERAPY & COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY RICKER LPC (PRESIDENT)
(520) 293-1770
Entity
Organization
Contact information
Practice address
1661 N SWAN RD STE 200-2, TUCSON, AZ 85712-4074
(520) 293-1770
(520) 747-1448
Mailing address
1661 N SWAN RD STE 200-2, TUCSON, AZ 85712-4074
(520) 293-1770
(520) 747-1448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104086388
1104086388
AZ
Enumeration date
06/17/2009
Last updated
06/17/2009
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