Individual
OHLAYSHA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
613 EDPAS RD, NEW BRUNSWICK, NJ 08901-3810
(732) 798-0354
Mailing address
613 EDPAS RD, NEW BRUNSWICK, NJ 08901-3810
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00178200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37FI00178200
NJ DEPARTMENT OF CONSUMER AFFAIRS MARRIAGE AND FAMILT THERAPY LICENSE
PR
Enumeration date
05/20/2016
Last updated
05/20/2016
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