Michelle M. Hicks
Counselor, Professional in Emporia, VA. Individual provider (NPI-1).
NPI number1477228641
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1477228641
- Entity type
- Individual (NPI-1)
- Name
- Michelle M. Hicks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2021
- Certification date
- Aug 10, 2021
- Last updated
- Aug 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701010574 | VA | Yes |
Practice location
978 Fish RdEmporia, VA 23847-5031
Phone 434-378-2279
Mailing address
978 Fish RdEmporia, VA 23847-5031
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