Provider Demographics
NPI:1710695515
Name:OCHOA, RICKI WOLFE (PCLC)
Entity Type:Individual
Prefix:
First Name:RICKI
Middle Name:WOLFE
Last Name:OCHOA
Suffix:
Gender:F
Credentials:PCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 AVENUE B STE LL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3146
Mailing Address - Country:US
Mailing Address - Phone:406-696-2814
Mailing Address - Fax:406-204-7399
Practice Address - Street 1:1445 AVENUE B STE LL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3146
Practice Address - Country:US
Practice Address - Phone:406-696-2814
Practice Address - Fax:406-204-7399
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-55554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional