Individual
GENA D HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1319 W BASELINE RD, STE 101-B, LAFAYETTE, CO 80026-9307
(720) 414-1315
(720) 899-3160
Mailing address
1319 W BASELINE RD, STE 101-B, LAFAYETTE, CO 80026-9307
(720) 414-1315
(720) 899-3160
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0003773
CO
Other
Enumeration date
03/20/2008
Last updated
07/15/2016
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