| Doctor Name: | TOBI KRISTIN TRICKETT |
| NPI Number: | 1114046844 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | MH9527 |
| Business Practice Address: | 700 24th St Fort Lee, VA - 238011716 |
| Business Phone Number: | 8047349942 |
| Business Fax Number: | 8778741008 |
| Mailing Address: | 700 24th St, FORT LEE |
| State: | VA |
| Postal Code: | 238011716 |
| Phone Number: | 8047349942 |
| Fax Number: | 8778741008 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 04/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH9527 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |