Kayla Jayne Hicks, MA, LPCC, LADC

NPI #1992390595 in Little Canada, Minnesota

Provider Information

NPI Number: 1992390595
Entity Type: Individual
Name: Kayla Jayne Hicks, MA, LPCC, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, LPCC, LADC
Enumeration Date: Mar 4, 2021
Last Updated: Mar 4, 2021

Practice Location

Address: 2864 MIDDLE ST STE 100
City: Little Canada
State: Minnesota
ZIP Code: 55117-1411
Phone: (651) 493-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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