GLENN BERNARD RICKER

PHOENIX, AZ
NPI1831592658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-1539)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
-- GLENN BERNARD RICKER LISAC
4909 E MCDOWELL RD
PHOENIX, AZ 85008-7735
Phone number: 602-685-6000
Mailing Address
-- GLENN BERNARD RICKER LISAC
3003 N CENTRAL AVE STE 200
PHOENIX, AZ 85012-2914
Phone number: 602-685-6000
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