Individual
MARY ANN RIKANSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
901 GOODYEAR AVE, GADSDEN, AL 35903-1106
(256) 492-7800
(256) 494-5536
Mailing address
901 GOODYEAR AVE, GADSDEN, AL 35903-1106
(256) 492-7800
(256) 494-5536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PR403M
AL
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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