Individual
JEVON Z HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 KENT PL, NEWARK, DE 19702-6918
(551) 208-2576
Mailing address
9 KENT PL, NEWARK, DE 19702-6918
(551) 208-2576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1100
DE
Other
Enumeration date
10/14/2010
Last updated
02/16/2022
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