Individual
DANNY RAY HICKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305802
MN
101YP2500X
Professional Counselor
Primary
15952
CA
1041C0700X
Clinical Social Worker
81205
CA
Other
Enumeration date
09/23/2020
Last updated
02/11/2025
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