Individual
SUSAN AGEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2963 HIGHWAY 833, MONTICELLO, KY 42633-8137
(606) 575-5192
Mailing address
2963 HIGHWAY 833, MONTICELLO, KY 42633-8137
(606) 575-5192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261177
KY
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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