MR. Robert Mitchell Rickson JR.

NPI #1003112384 in Fairbanks, Alaska

Provider Information

NPI Number: 1003112384
Entity Type: Individual
Name: MR. Robert Mitchell Rickson JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 3830 S CUSHMAN ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-7530
Phone: (907) 452-1575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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