TYRONE HICKS

ASHTABULA, OH
NPI1780265876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  170348)
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
TYRONE HICKS CDCA
3418 LAKE AVE
ASHTABULA, OH 44004-5763
Phone number: 440-650-5030
Mailing Address
TYRONE HICKS CDCA
3418 LAKE AVE
ASHTABULA, OH 44004-5763
Phone number: