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Individual

ASHLEY MICHELLE RICKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1059
(619) 393-4444
Mailing address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1059
(619) 393-4444

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
178014081
IL
101Y00000X
Counselor
Primary
180013332
IL

Other

Enumeration date
08/24/2018
Last updated
12/28/2020
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