Individual
RICARDO HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CADC
Contact information
Practice address
4222 FORTUNA CENTER PLZ, DUMFRIES, VA 22025-1515
(571) 394-7833
Mailing address
3324 DONDIS CREEK DR, TRIANGLE, VA 22172-2088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005867
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1028
VA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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