Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LPCPCC00222652 | KY |
NPI | 1003146499 |
---|---|
Provider Name | Mrs. Elizabeth A Ricard |
First Address | Loyall, KY 40854-0416 |
Second Address | Loyall, KY 30854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2010 |
Last Update Date | 09/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100368520 | (05) | KY |