Jeffrey M Hicks
Jeffrey M Hicks is a Mental Health Counselor in Bloomington, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
108 W Market StBloomington, IL 61701-3918
Phone: (309) 827-5351
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1407567001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2022 |
| Last updated in NPPES | December 6, 2022 |
| Certification date | December 6, 2022 |
| Mailing address | 108 W Market St, Bloomington, IL 61701-3918 |
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