MS. Taleigh Ricketts, BA

NPI #1295170504 in Mount Carmel, Illinois

Provider Information

NPI Number: 1295170504
Entity Type: Individual
Name: MS. Taleigh Ricketts, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BA
Enumeration Date: May 1, 2013
Last Updated: May 1, 2013

Practice Location

Address: 602 E 5TH ST
City: Mount Carmel
State: Illinois
ZIP Code: 62863-2152
Phone: (618) 262-7473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X

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