Individual provider · Type 1 NPI

Irene Kanaris Rickus

Mental Health Counselor · Jacksonville, FL

NPI number 1396652723 Active

Practice location

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH2072 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1396652723

Irene Kanaris Rickus's National Provider Identifier is 1396652723, issued on Aug 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 24, 2026.