Individual
SAMANTHA GAY RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC-A, NCC
Contact information
Practice address
12800 HILLCREST RD UNIT A103, DALLAS, TX 75230-1524
(256) 542-8421
Mailing address
6012 HUDSON ST UNIT 3, DALLAS, TX 75206-8032
(256) 542-8421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
87777
TX
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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