Individual provider · Type 1 NPI

Jessica Nicole Tico

Peer Specialist · Monroe, LA

NPI number 1154961258 Active

Practice location

4306 S Grand St
Monroe, LA 71202-6322

Call (913) 220-3153 Map

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1154961258

Jessica Nicole Tico's National Provider Identifier is 1154961258, issued on Jan 7, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Monroe, LA. The record was last updated on Jan 7, 2020.