Individual provider · Type 1 NPI

Tyrone Hicks, CDCA

Addiction (Substance Use Disorder) Counselor · Ashtabula, OH

NPI number 1780265876 Active

Practice location

3418 Lake Ave
Ashtabula, OH 44004-5763

Call (440) 650-5030 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X170348 (OH)

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

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About NPI 1780265876

Tyrone Hicks, CDCA's National Provider Identifier is 1780265876, issued on Apr 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashtabula, OH. The record was last updated on Apr 20, 2021.