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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780265876

Tyrone Hicks, CDCA is an Addiction (Substance Use Disorder) Counselor in Ashtabula, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
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Practice location Address checks out

3418 Lake Ave
Ashtabula, OH 44004-5763
Phone: (440) 650-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 170348 (OH)

Record details

NPI number1780265876
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address3418 Lake Ave, Ashtabula, OH 44004-5763

Other providers in Ashtabula