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General NPI Number Information
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NPI Number | 1912454422
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Entity Type | Individual
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Provider Name | JASMINE A RICKS MA, LMFT, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 4760 PRESTON RD STE 224 # 230
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-626-7914
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Fax |
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Provider Business Mailing Address
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Address Line | 4760 PRESTON RD STE 224 # 230
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-604-5300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 81159
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 551228
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203138
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License Number State | TX
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