Individual ProviderSally Joanne RickerCounselorBehavioral Health & Social Service ProvidersPractice Address11415 NE 128th St, Suite 100, Kirkland, WA 98034-6314(206) 550-7576PECOS EnrollmentBased on the most recent information from CMS, provider Sally Joanne Ricker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508113341Provider TypeIndividualFull NameRicker, Sally JoanneTitleMs.CredentialL.M.H.C.GenderFemaleSole ProprietorYesEnumeration Date8/10/2012Last Updated8/10/2012Contact InformationPractice LocationPractice Address11415 NE 128th St, Suite 100, Kirkland, WA 98034-6314Phone(206) 550-7576Fax(425) 823-3948Mailing LocationMailing Address11415 NE 128th St, Suite 100, Kirkland, WA 98034-6314Phone(206) 550-7576Fax(425) 823-3948Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH60276800Washington