Individual
SHARDAE RICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 W JUDGE PEREZ DR STE C, CHALMETTE, LA 70043-4774
(504) 324-5298
Mailing address
1829 WESTMINISTER BLVD, MARRERO, LA 70072-4434
(504) 324-5298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
06/10/2016
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