Individual provider · Type 1 NPI

Wandena Lasha' Hicks, MHPP

Mental Health Counselor · El Dorado, AR

NPI number 1407005580 Active

Practice location

412 N Washington Ave
El Dorado, AR 71730-5616

Call (870) 863-4611 Map

Fax (870) 863-4962

Mailing address

5537 Bleaux Ave
Springdale, AR 72762-0737

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407005580

Wandena Lasha' Hicks, MHPP's National Provider Identifier is 1407005580, issued on Sep 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in El Dorado, AR. The record was last updated on Sep 15, 2008.