JUSTIN LEE RICKS

SAN JOSE, CA
NPI1770766933
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-12-11
Last Update Date2007-12-11
Business Address
Mr. JUSTIN LEE RICKS BA
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4217
Mailing Address
Mr. JUSTIN LEE RICKS BA
520 RAILWAY AVE APT 287
CAMPBELL, CA 95008-3036
Phone number: 408-876-4217
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