Tyra Rickman

NPI #1740022540 in Caldwell, Idaho

Provider Information

NPI Number
1740022540
Entity Type
Individual
Name
Tyra Rickman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Jun 11, 2024
Last Updated
Jun 11, 2024

Practice Location

Address
211 E LOGAN ST STE 201
State
Idaho
ZIP Code
83605-4883
Phone
(208) 454-1480

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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