Provider Demographics
NPI:1629743125
Name:RICKLE-DEGLER, AUBREY VICTORIA
Entity Type:Individual
Prefix:MS
First Name:AUBREY
Middle Name:VICTORIA
Last Name:RICKLE-DEGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AUBREY
Other - Middle Name:VICTORIA
Other - Last Name:RICKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1712 FORRER BLVD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1306
Mailing Address - Country:US
Mailing Address - Phone:419-934-3106
Mailing Address - Fax:
Practice Address - Street 1:3085 WOODMAN DR STE 240
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1159
Practice Address - Country:US
Practice Address - Phone:937-951-3077
Practice Address - Fax:937-951-3109
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor