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NPI Code Detail

MEDICARE: JEAN C RICKS-AYER CIT

MEDICARE:   JEAN C RICKS-AYER  CIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1467122861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN C RICKS-AYER CIT
Provider Business Mailing Address
First Line : 1421 SHEPARD RD
Second Line :
City : WILDWOOD
State : MO
Zip : 63038-1420
Country : US
Telephone Number : 253-341-8793
Fax Number :
Provider Business Practice Location Address
First Line : 9666 OLIVE BLVD STE 330
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3035
Country : US
Telephone Number : 314-594-7298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 09/16/2021

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Directions to “ JEAN C RICKS-AYER CIT” Practice Location

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