JAMES LEE HICKS

MODESTO, CA
NPI1649920497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-25
Last Update Date2022-03-25
Business Address
Mr. JAMES LEE HICKS AAS SUDC
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151
Mailing Address
Mr. JAMES LEE HICKS AAS SUDC
102 OLIVE AVE
MODESTO, CA 95350-5931
Phone number: 209-735-2633