Organization
JACQUI HICKS CONNECTIVE HEALINGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
351 COVENTRY LN, MASON, MI 48854-1162
(517) 604-8083
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
01/22/2024
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