Individual provider · Type 1 NPI

Devon M. Hicks

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1700097516 Active

Practice location

423 Mackay Dr
San Bernardino, CA 92408-3230

Call (909) 383-1073 Map

Fax (909) 383-1456

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRW0767 (CA)
Licensed Practical Nurse 164W00000XVN246830 (CA)

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

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About NPI 1700097516

Devon M. Hicks's National Provider Identifier is 1700097516, issued on May 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 29, 2010.