Individual
KEVIA RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S HANLEY RD STE 195, BRENTWOOD, MO 63144-1520
(314) 252-0675
Mailing address
4016 BRITTANY CIR APT D, BRIDGETON, MO 63044-4034
(636) 675-2018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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