Individual
KENDRA LYNN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
600 1ST AVE, PERRY, IA 50220-1803
(515) 571-3327
Mailing address
3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
(515) 571-3327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11090
IA
Other
Enumeration date
08/15/2013
Last updated
09/26/2013
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