Individual provider · Type 1 NPI

Tammy Jean Ricketts, LICSW

Counselor · St. Louis, MO

NPI number 1437248556 Active

Practice location

12647 Olive Blvd
St. Louis, MO 63141-6345

Call (314) 744-4223 Map

Mailing address

11947 Mckibben Ct
El Paso, TX 79908

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X0890000987 (VT)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1437248556

Tammy Jean Ricketts, LICSW's National Provider Identifier is 1437248556, issued on Oct 12, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 13, 2007.