Individual
MICHAEL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
83 TANBARK PLAZA, LOVINGSTON, VA 22949-0000
(434) 263-6936
Mailing address
112 BRENLEIGH CT, LYNCHBURG, VA 24501-3142
(434) 386-1868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013852
VA
Other
Enumeration date
10/22/2024
Last updated
05/05/2025
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