COLLEEN ELIZABETH HICKS

OLYMPIA, WA
NPI1023214756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH00007231)
Enumeration Date2007-06-21
Last Update Date2007-07-08
Business Address
-- COLLEEN ELIZABETH HICKS MA LMCH
3525 ENSIGN RD NE MEDICAL RESOURCE CENTER SUITE G
OLYMPIA, WA 98506
Phone number: 360-438-7188
Mailing Address
-- COLLEEN ELIZABETH HICKS MA LMCH
PO BOX 1172
TENINO, WA 98589
Phone number: 360-438-7188