Individual provider · Type 1 NPI
Lisa Renee Ricketson, LPC
Professional Counselor · Amarillo, TX
NPI number
1831765809
Active
Practice location
3303 Teckla Blvd
Amarillo, TX 79106-5104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 76684 (TX) |
Professional Counselor: Definition to come...
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About NPI 1831765809
Lisa Renee Ricketson, LPC's National Provider Identifier is 1831765809, issued on Jun 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Amarillo, TX. The record was last updated on Jun 1, 2021.