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General NPI Number Information
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NPI Number | 1043186166
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Entity Type | Organization
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Legal Business Name | KATHARINE HICKS THERAPY
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 3511 CAMINO DEL RIO S STE 205
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City | SAN DIEGO
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State | CA
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Zip | 92108-4003
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Country | US
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Telephone | 619-786-3697
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Fax | 213-510-8559
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Provider Business Mailing Address
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Address Line | 1880 CAMINO DE LA REINA # 1098
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City | SAN DIEGO
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State | CA
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Zip | 92108-1539
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Country | US
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Telephone | 619-786-3697
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Fax | 213-510-8559
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | KATHARINE CAROLINE HICKS
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Credential |
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Telephone | 619-786-3697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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