B Rickard Llc | |
99-080 Kauhale St Ste C20 Aiea HI 96701-4114 | |
(808) 462-6885 | |
Not Available |
Full Name | B Rickard Llc |
---|---|
Speciality | Counselor |
Location | 99-080 Kauhale St Ste C20, Aiea, Hawaii |
Authorized Official Name and Position | Brooke Rickard (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8084626885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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B Rickard Llc 99-080 Kauhale St Ste C20 Aiea HI 96701-4114 Ph: () - | B Rickard Llc 99-080 Kauhale St Ste C20 Aiea HI 96701-4114 Ph: (808) 462-6885 |
NPI Number | 1356106819 |
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Provider Enumeration Date | 02/14/2024 |
Last Update Date | 02/14/2024 |
Certification Date | 02/14/2024 |
Medicare PECOS PAC ID | 1951843515 |
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Medicare Enrollment ID | O20240611001514 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356106819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Brooke Rickard |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053958165 PECOS PAC ID: 3870944473 Enrollment ID: I20240108006057 |
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