Individual
WALIYYAH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
309 PROGRESS DR, BURGAW, NC 28425-3280
(910) 259-0668
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28963
NC
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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