Hicks, Demetrius Antonyo Contellis
Hicks, Demetrius Antonyo Contellis is an sole proprietor health care provider with primary practice located at 1461 E Cooley Dr Ste 100 , Colton CA 92324-3921. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hicks, Demetrius Antonyo Contellis can be contacted via phone (909) 320-0064.Contact Information
Primary practice address
1461 E Cooley Dr Ste 100
Colton CA 92324-3921
Phone: (909) 320-0064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF98596 | California |
Profile Details
| NPI number | 1669858684 |
|---|---|
| LBN Legal business name | Hicks, Demetrius Antonyo Contellis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2015 |
| Last updated | Apr 12th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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