Individual
DAVID TIMOTHY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
105 BANK ST APT 3, HARDINSBURG, KY 40143-3533
(270) 296-1176
Mailing address
720 W MAIN ST, LEITCHFIELD, KY 42754-1352
(270) 296-1176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
255686
KY
Other
Enumeration date
09/08/2017
Last updated
06/23/2025
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