Individual
GREGORY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MANHATTAN AVE, BROOKLYN, NY 11206-3950
(718) 388-3075
(718) 388-4468
Mailing address
10 MANHATTAN AVE, BROOKLYN, NY 11206-3950
(718) 388-3075
(718) 388-4468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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