Individual provider · Type 1 NPI

Jonathan Karl Hicks

Mental Health Counselor · Oakland, CA

NPI number 1235785791 Active

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3399

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1235785791

Jonathan Karl Hicks's National Provider Identifier is 1235785791, issued on Aug 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Aug 12, 2019.