Individual provider · Type 1 NPI

Nicole Ping Ticknor, LPC

Professional Counselor · Rockford, IL

NPI number 1023489853 Active

Practice location

433 S. Phelps Ave., Suite 2
Rockford, IL 61108

Call (815) 397-4287 Map

Fax (815) 397-3136

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.009354 (IL)

Professional Counselor: Definition to come...

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About NPI 1023489853

Nicole Ping Ticknor, LPC's National Provider Identifier is 1023489853, issued on Oct 20, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Oct 20, 2015.