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Mary Christine Hicks, LCADC

Counselor, Addiction (Substance Use Disorder) in Prestonsburg, KY. Individual provider (NPI-1).

NPI number1760636310
StatusActive
Last updated in NPPESNov 29, 2023

Details

NPI
1760636310
Entity type
Individual (NPI-1)
Name
Mary Christine Hicks
Credential
LCADC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 10, 2008
Certification date
Nov 29, 2023
Last updated
Nov 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)165370KYYes

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Phone 606-886-8572 · Fax 606-886-4433

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Phone 606-886-8572 · Fax 606-886-4433

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