Individual provider · Type 1 NPI
Emajae Ricketts, LPC
Professional Counselor · West Haven, CT
NPI number
1730739293
Active
Practice location
415 Main St
West Haven, CT 06516-4296
Mailing address
49 Oxford St
New Haven, CT 06513-4021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3839 (CT) |
Professional Counselor: Definition to come...
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About NPI 1730739293
Emajae Ricketts, LPC's National Provider Identifier is 1730739293, issued on Sep 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Haven, CT. The record was last updated on Sep 17, 2019.