Individual
KIMBERLY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
31 DRAGONFLY DR, HOLDEN, ME 04429-7558
(970) 658-9716
Mailing address
31 DRAGONFLY DR, HOLDEN, ME 04429-7558
(970) 658-9716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
10007
SC
101YP2500X
Professional Counselor
CC7790
ME
101YP2500X
Professional Counselor
Primary
LPC.0013314
CO
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/30/2014
Last updated
03/06/2025
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