Kerry James Hicks, SUDCC

NPI #1841941499 in Indio, California

Provider Information

NPI Number: 1841941499
Entity Type: Individual
Name: Kerry James Hicks, SUDCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: SUDCC
Enumeration Date: Jan 14, 2022
Last Updated: Feb 3, 2026

Practice Location

Address: 44199 MONROE ST STE B
City: Indio
State: California
ZIP Code: 92201-3094
Phone: (760) 863-8074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Behavior Technician	106S00000X
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X

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