JESSICA BROOKE RICKS NPI 1568191021

NPI Information

NPI: 1568191021
Provider Name: JESSICA BROOKE RICKS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
201 E ACADEMY ST
FUQUAY VARINA, NC
ZIP 27526
Phone: (919) 980-5312
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Jessica Brooke Ricks is a mental health counselor in Fuquay Varina, NC. Jessica Brooke Ricks NPI is 1568191021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 E ACADEMY ST
FUQUAY VARINA, NC
ZIP 27526-248
Phone: (919) 980-5312

The enumeration date for this NPI number is 6/8/2022 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A17660	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A17660	OTHER	NORTH CAROLINA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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