Individual provider · Type 1 NPI

Taleigh Ricketts, BA

Mental Health Counselor · Mount Carmel, IL

NPI number 1295170504 Active

Practice location

602 E 5th St
Mount Carmel, IL 62863-2152

Fax (618) 262-8810

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295170504

Taleigh Ricketts, BA's National Provider Identifier is 1295170504, issued on May 1, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Carmel, IL. The record was last updated on May 1, 2013.