Individual
KELCEY HIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29370
NY
104100000X
Social Worker
079607
NY
1041C0700X
Clinical Social Worker
Primary
014933
CT
1041C0700X
Clinical Social Worker
080792
NY
Other
Enumeration date
10/02/2009
Last updated
03/17/2025
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