Individual
MR. EUMARCUS HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6022 APPLEGATE CIR, BOSSIER CITY, LA 71111-5671
(318) 272-3562
Mailing address
6022 APPLEGATE CIR, BOSSIER CITY, LA 71111-5671
(318) 272-3562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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