Individual provider · Type 1 NPI

Kevia Ricketts

Mental Health Counselor · Brentwood, MO

NPI number 1609643949 Active

Practice location

2001 S Hanley Rd Ste 195
Brentwood, MO 63144-1520

Mailing address

4016 Brittany Cir Apt D
Bridgeton, MO 63044-4034

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609643949

Kevia Ricketts's National Provider Identifier is 1609643949, issued on Dec 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brentwood, MO. The record was last updated on Dec 6, 2023.