IRENE MARIE HICKS

SAN CLEMENTE, CA
NPI1649365933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  061337)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
-- IRENE MARIE HICKS CATC
101 AVENIDA SERRA
SAN CLEMENTE, CA 92672
Phone number: 949-366-9210
Mailing Address
-- IRENE MARIE HICKS CATC
321 AVENIDA CABRILLO #C
SAN CLEMENTE, CA 92672
Phone number: 949-366-9210
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