Individual
RICKEY HOWARD LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2616 JENNIFER DR, JEFFERSON CITY, MO 65101-3995
(314) 566-3107
Mailing address
2616 JENNIFER DR, JEFFERSON CITY, MO 65101-3995
(314) 566-3107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008022664
MO
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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