Individual provider · Type 1 NPI

Keelin Hicks

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1174086011 Active

Practice location

5190 Atlantic Ave
Long Beach, CA 90805-6510

Call (562) 428-4111 Map

Mailing address

5867 California Ave
Long Beach, CA 90805-4120

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1295110318 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174086011

Keelin Hicks's National Provider Identifier is 1174086011, issued on Apr 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Apr 8, 2019.