Individual
BEVERLY JUNE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., LPC
Contact information
Practice address
901 PAVERSTONE DR, RALEIGH, NC 27615-4710
(919) 847-2197
(919) 846-7748
Mailing address
901 PAVERSTONE DR, RALEIGH, NC 27615-4708
(919) 847-2197
(919) 846-7748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3377
TX
101YP2500X
Professional Counselor
2874
NC
106H00000X
Marriage & Family Therapist
Primary
003662-042571
NC
Other
Enumeration date
10/21/2005
Last updated
09/11/2025
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