Dwayne Hicks, LADC
NPI #1225373400 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1225373400
- Entity Type
- Individual
- Name
- Dwayne Hicks, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LADC
- Enumeration Date
- Nov 29, 2012
- Last Updated
- Nov 29, 2012
Practice Location
- Address
- 1900 SILVER LAKE RD NW
- Address 2
- SUITE 110
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1786
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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