Individual
GARY LEHN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
1816 CHILDHAVEN RD NE, CULLMAN, AL 35055-5902
(256) 734-6720
Mailing address
6808 SELLERS RD, DORA, AL 35062-2406
(057) 170-2682
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC03785
AL
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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