Individual
CHANDRA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10752 DEERWOOD PARK BLVD STE 100, JACKSONVILLE, FL 32256-4846
(904) 834-1124
Mailing address
10752 DEERWOOD PARK BLVD STE 100, JACKSONVILLE, FL 32256-4846
(904) 834-1124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16230
FL
106H00000X
Marriage & Family Therapist
IMH 13057
FL
Other
Enumeration date
05/28/2015
Last updated
11/21/2025
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