Individual
TRACEY L HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCJ
Contact information
Practice address
9250 W LONE CACTUS DR, PEORIA, AZ 85382-8329
(480) 819-3249
Mailing address
9250 W LONE CACTUS DR, PEORIA, AZ 85382-8329
(480) 819-3249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/25/2011
Last updated
02/22/2024
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