Individual provider · Type 1 NPI

Tyra Rickman

Professional Counselor · Nampa, ID

NPI number 1740022540 Active

Practice location

9850 W St Lukes Dr Ste 320
Nampa, ID 83687-7912

Call (208) 505-2222 Map

Fax (208) 205-7666

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 211 E Logan St Ste 201, Caldwell, ID 83605-4883 · (208) 454-1480

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-10588 (ID)

Professional Counselor: Definition to come...

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About NPI 1740022540

Tyra Rickman's National Provider Identifier is 1740022540, issued on Jun 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Oct 13, 2026.