Individual provider · Type 1 NPI

Kellen Kristopher Hicks, LICDC-CS

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1992234488 Active

Practice location

8120 Garnet Dr
Dayton, OH 45458-2141

Call (513) 834-7063 Map

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.131097 (OH)

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

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About NPI 1992234488

Kellen Kristopher Hicks, LICDC-CS's National Provider Identifier is 1992234488, issued on Jun 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on May 28, 2026.