Individual provider · Type 1 NPI

Ricky Thompson

Mental Health Counselor · Ponte Vedra, FL

NPI number 1407194640 Active

Practice location

166 A1A N Ste 216
Ponte Vedra, FL 32082-5702

Call (229) 349-7859 Map

Mailing address

108 Mahogany Bay Dr
St. Johns, FL 32259-6948

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 13423 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1407194640

Ricky Thompson's National Provider Identifier is 1407194640, issued on Jan 23, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponte Vedra, FL. The record was last updated on Aug 17, 2015.