Individual provider · Type 1 NPI
Jacquelyn Suzanne Hicks
Mental Health Counselor · Mason, MI
NPI number
1447860689
Active
Practice location
351 Coventry Ln
Mason, MI 48854-1162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401223031 (MI) |
| Counselor | 101Y00000X | 6401223031 (MI) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1447860689
Jacquelyn Suzanne Hicks's National Provider Identifier is 1447860689, issued on Aug 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mason, MI. The record was last updated on Jun 25, 2026.