Individual
DANA RICE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
209 BARIUM SPRINGS DR, STATESVILLE, NC 28677-8454
(704) 924-0436
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 832-2200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13277
NC
101YM0800X
Mental Health Counselor
A13277
NC
101YP2500X
Professional Counselor
13277
NC
101YP2500X
Professional Counselor
A13277
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14125202
CAQH
—
Enumeration date
10/25/2017
Last updated
05/03/2022
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