Individual provider · Type 1 NPI

Tina Maria Ricks, LMSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1487091120 Active

Practice location

2275 W Broadway St Ste G
Idaho Falls, ID 83402

Call (208) 524-7400 Map

Other practice locations

  • 1970 E 17th St, Suite 202, Idaho Falls, ID 83404-8014 · (208) 523-5319

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-32947 (ID)

Mental Health Counselor: Definition to come...

21 other providers at this address

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About NPI 1487091120

Tina Maria Ricks, LMSW's National Provider Identifier is 1487091120, issued on Jun 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 9, 2019.