KENNETH VAN HICKS

LUFKIN, TX
NPI1659698322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  18196)
Enumeration Date2010-04-21
Last Update Date2010-04-21
Business Address
-- KENNETH VAN HICKS LCDC
4101 S MEDFORD DR
LUFKIN, TX 75901-5633
Phone number: 936-633-5676
Mailing Address
-- KENNETH VAN HICKS LCDC
4101 S MEDFORD DR
LUFKIN, TX 75901-5633
Phone number: 936-633-5676
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