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Organization
KATHARINE HICKS THERAPY
Active
Organization
KATHARINE HICKS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE CAROLINE HICKS (OWNER, THERAPIST)
(619) 786-3697
Entity
Organization
Contact information
Practice address
3511 CAMINO DEL RIO S STE 205, SAN DIEGO, CA 92108-4003
(619) 786-3697
(213) 510-8559
Mailing address
1880 CAMINO DE LA REINA # 1098, SAN DIEGO, CA 92108-1539
(619) 786-3697
(213) 510-8559
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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