Mr. Robert Mitchell Rickson JR.
Mental Health Counselor
3830 S Cushman St
Fairbanks
, Alaska 99701-7530
Mr. Robert Mitchell Rickson JR.
Mental Health Counselor
3830 S Cushman St
Fairbanks
, Alaska 99701-7530
(907) 699-8600
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Mr. Robert Mitchell Rickson JR.
- 5540 Old Valdez Trl
- Salcha, AK
- Zip : 99714-9302
- Phone : (907) 699-8600
Second Address
- Mr. Robert Mitchell Rickson JR.
- 3830 S Cushman St
- Fairbanks, AK
- Zip : 99701-7530
- Phone : (907) 452-1575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003112384 |
|---|---|
| Provider Name | Mr. Robert Mitchell Rickson JR. |
| First Address | Salcha, AK 99714-9302 |
| Second Address | Fairbanks, AK 99701-7530 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.