Individual
EMAJAE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
Mailing address
49 OXFORD ST, NEW HAVEN, CT 06513-4021
(203) 589-2732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3839
CT
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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