Individual
ANDREA RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69730 HIGHWAY 111 STE 109B, RANCHO MIRAGE, CA 92270-2873
(760) 778-6120
(760) 699-7282
Mailing address
41500 WASHINGTON ST APT L149, BERMUDA DUNES, CA 92203-9518
(760) 296-4784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII2751214
CA
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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