Individual
MR. ANDREW G HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MA, LLP, CADC
Contact information
Practice address
PO BOX 175, WEST OLIVE, MI 49460-0175
(231) 215-8976
Mailing address
PO BOX 175, WEST OLIVE, MI 49460-0175
(231) 215-8976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-1292
MI
103T00000X
Psychologist
Primary
6361008171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-0292
MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS
MI
01
—
6361008171
STATE OF MICHIGAN
MI
Enumeration date
12/21/2019
Last updated
05/19/2025
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