Individual provider · Type 1 NPI

Ricky A. Person Sr., CSAC. ICS

Addiction (Substance Use Disorder) Counselor · Mount Pleasant, WI

NPI number 1144651159 Active

Practice location

4810 Northwestern Ave
Mount Pleasant, WI 53406

Mailing address

4810 Northwestern Ave # 100
Mount Pleasant, WI 53406-1504

Other practice locations

  • 2405 Northwestern Ave, Suite LL15, Racine, WI 53404-2534 · (262) 260-8370

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11919-134 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144651159

Ricky A. Person Sr., CSAC. ICS's National Provider Identifier is 1144651159, issued on Dec 2, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jul 10, 2018.