Individual provider · Type 1 NPI

Kayla Jayne Hicks, MA, LPCC, LADC

Professional Counselor · Little Canada, MN

NPI number 1992390595 Active

Practice location

2864 Middle St Ste 100
Little Canada, MN 55117-1411

Call (651) 493-2055 Map

Mailing address

531 Esk Ln
Eagan, MN 55123-3911

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304932 (MN)
Professional Counselor Primary 101YP2500X2540 (MN)

Professional Counselor: Definition to come...

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About NPI 1992390595

Kayla Jayne Hicks, MA, LPCC, LADC's National Provider Identifier is 1992390595, issued on Mar 4, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Little Canada, MN. The record was last updated on Mar 4, 2021.