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Individual
VIVIAN HICKS
Active
Individual
VIVIAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60457984
WA
101YM0800X
Mental Health Counselor
275012
KY
101YM0800X
Mental Health Counselor
Primary
MC60587450
WA
Other
Enumeration date
09/11/2014
Last updated
06/12/2023
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