Individual
TERRENCE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
11235 E SUNDANCE DR, TUCSON, AZ 85749-8280
(520) 237-4435
Mailing address
11235 E SUNDANCE DR, TUCSON, AZ 85749-8280
(520) 237-4435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC0859
AZ
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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