Individual
ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
59 N DIXIE DR STE C, VANDALIA, OH 45377-2067
(937) 314-1659
Mailing address
534 RADER DR., VANDALIA, OH 45377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0602164
OH
Other
Enumeration date
08/29/2012
Last updated
10/15/2024
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