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Nicol Hicks

Peer Specialist in Klamath Falls, OR. Individual provider (NPI-1).

NPI number1669918355
StatusActive
Last updated in NPPESJun 22, 2023

Details

NPI
1669918355
Entity type
Individual (NPI-1)
Name
Nicol Hicks
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2017
Certification date
Jun 22, 2023
Last updated
Jun 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Phone 541-883-1030 · Fax 541-884-2338

Mailing address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Phone 541-883-1030 · Fax 541-884-2338

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