Individual
MARY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, CADC
Contact information
Practice address
305 WOODS RD, ELIZABETHTOWN, KY 42701-7247
(502) 612-2252
Mailing address
305 WOODS RD, ELIZABETHTOWN, KY 42701-7247
(502) 612-2252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165492
—
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
Other
Enumeration date
07/05/2017
Last updated
10/22/2025
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