Individual
MS. BRENDA LEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.W.
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 257-3602
Mailing address
725 E 64TH ST APT A6, INDIANAPOLIS, IN 46220-1658
(317) 259-4771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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