Individual
BRANDIE J HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71338 HIGHWAY 21 STE 101, COVINGTON, LA 70433-7162
(985) 624-2942
(985) 231-1373
Mailing address
71338 HIGHWAY 21 STE 101, COVINGTON, LA 70433-7162
(985) 624-2942
(985) 231-1373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6576
LA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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