Individual
CAROLINE GRACE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, LCASA
Contact information
Practice address
717 GREENWAY RD STE C, BOONE, NC 28607-4991
(828) 820-8066
Mailing address
717 GREENWAY RD STE C, BOONE, NC 28607-4991
(828) 820-8066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20118
NC
Other
Enumeration date
08/23/2024
Last updated
09/03/2024
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