Individual
MR. KEN W HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LAT NCAC II SAP
Contact information
Practice address
336 S JACKSON, CASPER, WY 82601
(307) 265-2555
(307) 237-1259
Mailing address
336 S JACKSON, CASPER, WY 82601
(307) 265-2555
(307) 237-1259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT157
WY
1041C0700X
Clinical Social Worker
LCSW011
WY
Other
Enumeration date
11/17/2006
Last updated
09/11/2025
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