Ping Ticknor, Nicole

Ping Ticknor, Nicole is an individual health care provider with primary practice located at 433 S. Phelps Ave. Suite 2, Rockford IL 61108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ping Ticknor, Nicole can be contacted via phone (815) 397-4287.

Contact Information

Primary practice address
433 S. Phelps Ave. Suite 2 Rockford IL 61108
Phone: (815) 397-4287
Fax: (815) 397-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.009354 Illinois

Profile Details

NPI number 1023489853
LBN Legal business name Ping Ticknor, Nicole
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2015
Last updated Oct 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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