Individual provider · Type 1 NPI

Deirdre Michelle Hicks, AGS, CAC-1

Addiction (Substance Use Disorder) Counselor · Plymouth, MI

NPI number 1649499633 Active

Practice location

575 S Main St Ste 6
Plymouth, MI 48170-1778

Fax (734) 451-5410

Mailing address

7720 Minock St
Detroit, MI 48228-4513

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 1649499633

Deirdre Michelle Hicks, AGS, CAC-1's National Provider Identifier is 1649499633, issued on Apr 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MI. The record was last updated on Jul 8, 2007.