Individual
MICA NICOLE RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,EDS
Contact information
Practice address
401 NEW HOPE DR, CORINTH, MS 38834-7458
(662) 286-7199
(662) 286-8908
Mailing address
401 NEW HOPE DR, CORINTH, MS 38834-7458
(662) 286-7199
(662) 286-8908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2654
TN
101YP2500X
Professional Counselor
Primary
1772
MS
101YP2500X
Professional Counselor
2760
AL
Other
Enumeration date
10/27/2010
Last updated
09/18/2013
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