Individual provider · Type 1 NPI

Amanda Gay Hicks

Addiction (Substance Use Disorder) Counselor · Clearlake, CA

NPI number 1497585772 Active

Practice location

7000B S Center Dr
Clearlake, CA 95422-8131

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1497585772

Amanda Gay Hicks's National Provider Identifier is 1497585772, issued on Aug 2, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Aug 2, 2024.