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Individual

MR. DAVID HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
1251 JENTES RD, WOOSTER, OH 44691-7753
(330) 621-2117
Mailing address
1251 JENTES RD, WOOSTER, OH 44691-7753
(330) 621-2117

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-3221
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10042
OH
Enumeration date
06/01/2007
Last updated
03/21/2016
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