Individual
MICCA NICHOLE RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC, NCC
Contact information
Practice address
113 OAK RIDGE CT, PRESTONSBURG, KY 41653-8607
(606) 889-1602
(606) 263-4467
Mailing address
5666 KY ROUTE 850, HIPPO, KY 41653-8334
(606) 358-9520
(606) 886-0055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2288
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
E.2102246
OH
101YM0800X
Mental Health Counselor
Primary
1458
KY
Other
Enumeration date
02/04/2013
Last updated
04/26/2021
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