Individual
JESSICA BROOKE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E ACADEMY ST, FUQUAY VARINA, NC 27526-2248
(919) 980-5312
Mailing address
201 E ACADEMY ST, FUQUAY VARINA, NC 27526-2248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A17660
STATE LICENSE NUMBER
NC
Enumeration date
06/08/2022
Last updated
06/08/2022
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