JEDEDIAH LARICK

ENNIS, TX
NPI1588460729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  14222)
Enumeration Date2025-02-19
Last Update Date2025-04-04
Business Address
Mr. JEDEDIAH LARICK LCDC
1207 N CLAY ST APT 1
ENNIS, TX 75119-2346
Phone number: 956-933-0709
Mailing Address
Mr. JEDEDIAH LARICK LCDC
1207 N CLAY ST APT 1
ENNIS, TX 75119-2346
Phone number: 956-933-0709