Individual
MS. SUE MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC III
Contact information
Practice address
500 W. FORT ST., BOISE VAMC, BOISE, ID 83702
(208) 422-1360
Mailing address
478 S STIBNITE AVE, KUNA, ID 83634-1990
(208) 740-0391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-04-97
OR
1041C0700X
Clinical Social Worker
LCSW-27135
ID
Other
Enumeration date
08/09/2006
Last updated
09/11/2025
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