NPI 1003112384
Robert Mitchell Rickson
Practice location
- Address
- 3830 S Cushman St, Fairbanks, AK 99701-7530
- Phone
- (907) 452-1575
- Mailing address
- 5540 Old Valdez Trl, Salcha, AK 99714-9302
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003112384
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Feb 2011
- Record last updated
- 2 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.