Hicks, Kenneth

Hicks, Kenneth is an individual health care provider with primary practice located at 308 East 21St Avenue , Gary IN 46407. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hicks, Kenneth can be contacted via phone (219) 886-1320.

Contact Information

Primary practice address
308 East 21St Avenue Gary IN 46407
Phone: (219) 886-1320
Fax: (219) 886-1319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1881719532
LBN Legal business name Hicks, Kenneth
Credentials M.A., LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
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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