Individual
JUDITH RICKETTS-STOOKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, SCADC
Contact information
Practice address
1135 TERMINAL WAY STE 112, RENO, NV 89502-2145
(775) 322-3668
(775) 322-3665
Mailing address
PO BOX 2580, ELKO, NV 89803-2580
(775) 322-3668
(775) 322-3665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
656-L
NV
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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