Individual provider · Type 1 NPI

Jovan Hicks

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1992004493 Active

Practice location

3125 E 7th St
Long Beach, CA 90804-4932

Call (562) 987-5722 Map

Fax (562) 987-4586

Mailing address

1041 Redondo Ave
Long Beach, CA 90804-3928

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1992004493

Jovan Hicks's National Provider Identifier is 1992004493, issued on Mar 23, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Mar 23, 2011.