Individual
CHARLES ANTHONY RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Mailing address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/05/2009
Last updated
08/25/2023
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