Provider Demographics
NPI:1689439424
Name:RICKARDS, KARLA JANAE
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:JANAE
Last Name:RICKARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 PALMETTO AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3537
Mailing Address - Country:US
Mailing Address - Phone:330-400-9829
Mailing Address - Fax:
Practice Address - Street 1:867 PALMETTO AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3537
Practice Address - Country:US
Practice Address - Phone:330-400-9829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health