Nannette Louise Hicks, LISAC

NPI #1598192296 in Peoria, Arizona

Provider Information

NPI Number: 1598192296
Entity Type: Individual
Name: Nannette Louise Hicks, LISAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LISAC
Enumeration Date: Sep 26, 2013
Last Updated: Oct 15, 2013

Practice Location

Address: 8727 W WETHERSFIELD RD
City: Peoria
State: Arizona
ZIP Code: 85381-8111
Phone: (602) 509-4675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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