Hicks, Ken W

Hicks, Ken W is an individual health care provider with primary practice located at 336 S Jackson , Casper WY 82601. He 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hicks, Ken W can be contacted via phone (307) 265-2555.

Contact Information

Primary practice address
336 S Jackson Casper WY 82601
Phone: (307) 265-2555
Fax: (307) 237-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAT157 Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW011 Wyoming

Profile Details

NPI number 1609940329
LBN Legal business name Hicks, Ken W
Credentials LCSW LAT NCAC II SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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