KERRY JAMES HICKS

INDIO, CA
NPI1841941499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  17453)
Additional Taxonomies106S00000X Behavior Technician
(Licence: CA  R1404530920)
101YA0400X Counselor, Addiction (Substance Use Disorder)
171M00000X Case Manager/Care Coordinator
175T00000X Peer Specialist
Enumeration Date2022-01-14
Last Update Date2024-04-19
Business Address
KERRY JAMES HICKS RADT
44199 MONROE ST STE B
INDIO, CA 92201-3094
Phone number: 760-863-8074
Mailing Address
KERRY JAMES HICKS RADT
66275 IRONWOOD DR
DESERT HOT SPRINGS, CA 92240-5828
Phone number: 916-936-7712