Individual provider · Type 1 NPI

Justin Lee Ricks, BA

Mental Health Counselor · San Jose, CA

NPI number 1770766933 Active

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Call (408) 876-4217 Map

Mailing address

520 Railway Ave Apt 287
Campbell, CA 95008-3036

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1770766933

Justin Lee Ricks, BA's National Provider Identifier is 1770766933, issued on Dec 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Dec 11, 2007.