Individual
SUBRENA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 SWITZER RD, SHAWNEE, KS 66203
(913) 461-0864
Mailing address
497 W ELIZABETH ST, OLATHE, KS 66061-7827
(913) 461-0864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3064
KS
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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