Individual provider · Type 1 NPI
Leah Pamela Hicks, LPC-INTERN, ASOTP
Professional Counselor · Jasper, TX
NPI number
1447729520
Active
Practice location
116 N Main St
Jasper, TX 75951-4111
Mailing address
18 Cecil Dr
Woodville, TX 75979-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 79175 (TX) |
Professional Counselor: Definition to come...
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About NPI 1447729520
Leah Pamela Hicks, LPC-INTERN, ASOTP's National Provider Identifier is 1447729520, issued on Nov 18, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jasper, TX. The record was last updated on Nov 18, 2018.