Tracey L Hicks, MCJ

NPI #1073818860 in Peoria, Arizona

Provider Information

NPI Number: 1073818860
Entity Type: Individual
Name: Tracey L Hicks, MCJ
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MCJ
Enumeration Date: Jan 25, 2011
Last Updated: Feb 22, 2024

Practice Location

Address: 9250 W LONE CACTUS DR
City: Peoria
State: Arizona
ZIP Code: 85382-8329
Phone: (480) 819-3249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X
Counselor	101Y00000X	Primary

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