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Individual

TAYLOR JAMES ROBERT HICKS

Active
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Individual

TAYLOR JAMES ROBERT HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC II, CRPS

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RA9931120
CA
405300000X
Prevention Professional
RACPS9941120
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RA9931120
CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS
CA
01
—
RACPS9941120
CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS
CA
Enumeration date
10/06/2022
Last updated
10/06/2022
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