Individual provider · Type 1 NPI

Timothy Dale Hicks

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1659128791 Active

Practice location

3035 W Broad St
Columbus, OH 43204-2653

Fax (614) 272-7005

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.187591 (OH)

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

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About NPI 1659128791

Timothy Dale Hicks's National Provider Identifier is 1659128791, issued on May 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on May 6, 2024.