Hicks, Kayla Jayne
Hicks, Kayla Jayne is an individual health care provider with primary practice located at 2864 Middle St Ste 100 , Little Canada MN 55117-1411. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hicks, Kayla Jayne can be contacted via phone (651) 493-2055.Contact Information
Primary practice address
2864 Middle St Ste 100
Little Canada MN 55117-1411
Phone: (651) 493-2055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304932 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2540 | Minnesota |
Profile Details
| NPI number | 1992390595 |
|---|---|
| LBN Legal business name | Hicks, Kayla Jayne |
| Credentials | MA, LPCC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2021 |
| Last updated | Mar 4th, 2021 - about 5 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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