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NPI Code Detail

MEDICARE: KAREN LAFAY PREACELY HICKS

MEDICARE: KAREN LAFAY PREACELY HICKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPCC14146CA

General Provider Information

NPI Number : 1598611667
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LAFAY PREACELY HICKS
Provider Business Mailing Address
First Line : 17609 CATALPA WAY
Second Line :
City : CARSON
State : CA
Zip : 90746-7495
Country : US
Telephone Number : 310-795-2425
Fax Number :
Provider Business Practice Location Address
First Line : 17609 CATALPA WAY
Second Line :
City : CARSON
State : CA
Zip : 90746-7495
Country : US
Telephone Number : 310-795-2425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ KAREN LAFAY PREACELY HICKS ” Practice Location

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