Individual
MR. JOSEPH B HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCMHC, LPCMH
Contact information
Practice address
33124 LIGHTHOUSE RD, SELBYVILLE, DE 19975-4018
(302) 436-5868
(302) 436-2035
Mailing address
33124 LIGHTHOUSE RD, SELBYVILLE, DE 19975-4018
(302) 436-5868
(302) 436-2035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0000043
DE
101YM0800X
Mental Health Counselor
Primary
PC-0000043
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022268
—
DE
Enumeration date
10/17/2006
Last updated
08/20/2018
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