TIMOTHY DALE HICKS

COLUMBUS, OH
NPI1659128791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.187591)
Enumeration Date2024-05-06
Last Update Date2024-05-06
Business Address
TIMOTHY DALE HICKS
3035 W BROAD ST
COLUMBUS, OH 43204-2653
Phone number: 614-272-7005
Mailing Address
TIMOTHY DALE HICKS
3035 W BROAD ST
COLUMBUS, OH 43204-2653
Phone number: 614-272-7005
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