Individual provider · Type 1 NPI

Delorse Jean Ricketts

Mental Health Counselor · Chandler, OK

NPI number 1609198647 Active

Practice location

112 Mckinley Ave
Chandler, OK 74834-1622

Mailing address

334754 E Timber Oaks Dr
Wellston, OK 74881-8180

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609198647

Delorse Jean Ricketts's National Provider Identifier is 1609198647, issued on Feb 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chandler, OK. The record was last updated on Feb 18, 2010.