Ricky Calhoun, MA

Individual provider Active NPI Marriage & Family Therapist · Des Moines, IA

NPI 1821174384 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821174384
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
00188 (IA)
Practice address
3600 30TH St
BLDG 5
Des Moines, IA 50310-5753
Phone
(515) 699-5776
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00188IAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 00188 IA Yes

Addresses

Primary practice location

3600 30TH St
BLDG 5
Des Moines, IA 50310-5753

Mailing address

3600 30TH St
BLDG 5
Des Moines, IA 50310-5753
Phone (515) 699-5776

Other providers in Des Moines, IA

All providers in Des Moines, IA · Marriage & Family Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.