Individual provider · Type 1 NPI

Lacy Hicken, SSW

Professional Counselor · Provo, UT

NPI number 1760155287 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500X7318700-6009 (UT)
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000X7318700-3503 (UT)

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About NPI 1760155287

Lacy Hicken, SSW's National Provider Identifier is 1760155287, issued on Jul 29, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Provo, UT. The record was last updated on May 28, 2024.