Individual
AISHAH KELSICK-RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9570 CENTER AVE STE 100, RANCHO CUCAMONGA, CA 91730-5842
(909) 980-4755
Mailing address
9570 CENTER AVE STE 100, RANCHO CUCAMONGA, CA 91730-5842
(909) 980-4755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/11/2017
Last updated
08/25/2025
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