Individual
ALICIA RICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 9TH AVE STE 208, SAN DIEGO, CA 92101-7277
(619) 554-8328
(619) 780-7961
Mailing address
406 9TH AVE STE 208, SAN DIEGO, CA 92101-7277
(619) 554-8328
(619) 780-7961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94028745
CA
103TH0100X
Health Service Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2020
Last updated
12/02/2024
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