Individual
JESSICA MAE RICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAC-AD
Contact information
Practice address
9956 N MAIN ST UNIT 4, BERLIN, MD 21811-1077
(667) 288-1566
(410) 429-1399
Mailing address
1413 EMERSON AVE, SALISBURY, MD 21801-3218
(813) 545-4112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC2942
MD
104100000X
Social Worker
Primary
27491
MD
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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