Individual
NASTASHIA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N CAROLINA ST, NEW ROADS, LA 70760-3604
(225) 638-8449
Mailing address
PO BOX 872, MARINGOUIN, LA 70757-0872
(225) 262-9166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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