| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RICCI BLACKMON | 1083431977 | 2024-11-10 |
Ricci Blackmon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083431977. Registration indicates Ricci Blackmon is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Ricci Blackmon |
| Other Provider Name | Ricci Mendes |
| Practice Office Address | 320 SW RAMSEY AVE GRANTS PASS, OR US |
| Practice Office Telephone | 5414762373 |
| Mailing Address | 1215 SW G ST GRANTS PASS, OR 975262544 US |
| Business Telephone | 5414762373 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |