Individual
MR. DAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
143 SW SHEVLIN HIXON DR, SUITE 201, BEND, OR 97702-3189
(714) 222-4395
Mailing address
143 SW SHEVLIN HIXON DR, SUITE 201, BEND, OR 97702-3189
(714) 222-4395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1059
OR
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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