Individual provider · Type 1 NPI
Pamela Wood Hicks, LCDC
Addiction (Substance Use Disorder) Counselor · Tyler, TX
NPI number
1720304496
Active
Practice location
3600 Old Bullard Rd Ste 402
Tyler, TX 75701-8662
Fax (903) 509-9918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11073 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720304496
Pamela Wood Hicks, LCDC's National Provider Identifier is 1720304496, issued on Apr 20, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tyler, TX. The record was last updated on Apr 20, 2010.