Irene Marie Hicks, CATC
NPI #1649365933 in San Clemente, California
Provider Information
- NPI Number
- 1649365933
- Entity Type
- Individual
- Name
- Irene Marie Hicks, CATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CATC
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 101 AVENIDA SERRA
- City
- San Clemente
- State
- California
- ZIP Code
- 92672
- Phone
- (949) 366-9210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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