Individual
TYRELL ALEXANDER HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 N ARSENAL AVE, INDIANAPOLIS, IN 46201-3808
(317) 363-9588
Mailing address
3637 CATALPA AVE, INDIANAPOLIS, IN 46228-1087
(317) 294-4779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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