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Individual

JESSICA LEIGH HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, CRC

Contact information

Practice address
1 LILE CT STE 200, LITTLE ROCK, AR 72205-6240
(501) 663-1837
Mailing address
4260 STOCKTON DR, NORTH LITTLE ROCK, AR 72117-2915
(501) 664-7833

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A2012180
AR
101YM0800X
Mental Health Counselor
Primary
A2012180
AR

Other

Enumeration date
04/09/2021
Last updated
04/27/2023
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