MR. James Lee Hicks, AAS CDAC1
NPI #1649920497 in Ceres, California
Provider Information
- NPI Number
- 1649920497
- Entity Type
- Individual
- Name
- MR. James Lee Hicks, AAS CDAC1
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- AAS CDAC1
- Enumeration Date
- Mar 25, 2022
- Last Updated
- Nov 28, 2024
Practice Location
- Address
- 1904 RICHLAND AVE
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 525-7411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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