Individual
AMBER RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2939 W DURANGO ST, PHOENIX, AZ 85009-6357
(602) 876-4222
Mailing address
3501 W MICHELLE DR, GLENDALE, AZ 85308-2814
(623) 455-1102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16795
AZ
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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