Individual
PAMELA WOOD HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3600 OLD BULLARD RD STE 402, TYLER, TX 75701-8662
(903) 509-4232
(903) 509-9918
Mailing address
3600 OLD BULLARD RD STE 402, TYLER, TX 75701-8662
(903) 509-4232
(903) 509-9918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11073
TX
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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