Individual provider · Type 1 NPI

Elena Maria Rickard, CADC

Addiction (Substance Use Disorder) Counselor · East Peoria, IL

NPI number 1487305736 Active

Practice location

731 Sabrina Dr Unit C
East Peoria, IL 61611-3582

Fax (309) 699-2937

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X32851 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487305736

Elena Maria Rickard, CADC's National Provider Identifier is 1487305736, issued on Jan 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Peoria, IL. The record was last updated on Jan 24, 2022.