Individual
MRS. CRYSTAL R HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
321 S MAIN ST, NEW CASTLE, IN 47362-4218
(765) 529-3370
(765) 529-7269
Mailing address
9349 NOTRE DAME DR APT C, INDIANAPOLIS, IN 46240-4169
(765) 529-3370
(765) 529-7269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077810A
—
IN
Enumeration date
08/07/2009
Last updated
12/05/2013
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