Individual
JACOB HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2480 WINDY HILL RD SE STE 210, MARIETTA, GA 30067-8644
(404) 692-3615
Mailing address
2480 WINDY HILL RD SE STE 210, MARIETTA, GA 30067-8644
(404) 692-3615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013766
GA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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