Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kellen Kristopher Hicks, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992234488

Mr. Kellen Kristopher Hicks, LICDC-CS is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

8120 Garnet Dr
Dayton, OH 45458-2141
Phone: (513) 834-7063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.131097 (OH)

Record details

NPI number1992234488
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC-CS
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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