Individual provider · Type 1 NPI
Kenneth Van Hicks, LCDC
Addiction (Substance Use Disorder) Counselor · Lufkin, TX
NPI number
1659698322
Active
Practice location
4101 S Medford Dr
Lufkin, TX 75901-5633
Fax (936) 633-5695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18196 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659698322
Kenneth Van Hicks, LCDC's National Provider Identifier is 1659698322, issued on Apr 21, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lufkin, TX. The record was last updated on Apr 21, 2010.