Individual provider · Type 1 NPI

Amy Ricedorf, NCC

Mental Health Counselor · Hattiesburg, MS

NPI number 1013283357 Active

Practice location

4507 U S Highway 49
Hattiesburg, MS 39401-9012

Call (601) 545-2925 Map

Fax (601) 545-2926

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X255326 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1013283357

Amy Ricedorf, NCC's National Provider Identifier is 1013283357, issued on Mar 30, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hattiesburg, MS. The record was last updated on Mar 30, 2012.