Individual provider · Type 1 NPI

Rita Dyanne Ickert

Peer Specialist · Shelton, WA

NPI number 1821796483 Active

Practice location

307 W Cota St
Shelton, WA 98584-2265

Call (360) 205-8001 Map

Mailing address

309 Y St SW
Tumwater, WA 98501-5263

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Mental Health Counselor 101YM0800XCAAR.CG.61414172 (WA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1821796483

Rita Dyanne Ickert's National Provider Identifier is 1821796483, issued on Feb 22, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shelton, WA. The record was last updated on Apr 6, 2026.