Individual
DR. ALLYCIN POWELL-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
444 W OCEAN BLVD, LONG BEACH, CA 90802-4518
(818) 850-5672
Mailing address
8018 E SANTA ANA CANYON RD, 100122, ANAHEIM, CA 92808-1102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
11/10/2013
Last updated
02/16/2017
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