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General NPI Number Information
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NPI Number | 1902427461
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Entity Type | Organization
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Legal Business Name | HICKS COUNSELING AND HEALTH COACHING
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 180 W MICHIGAN AVE STE 802
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City | JACKSON
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State | MI
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Zip | 49201-1300
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Country | US
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Telephone | 517-867-3419
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Fax | 517-252-2706
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Provider Business Mailing Address
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Address Line | 180 W MICHIGAN AVE STE 802
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City | JACKSON
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State | MI
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Zip | 49201-1300
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Country | US
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Telephone | 517-867-3419
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Fax | 517-252-2706
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | JOYCE HICKS
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Credential | LMSW
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Telephone | 517-867-3419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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