person
Dwayne Hicks, LADC
Mental Health Counselor in New Brighton, Minnesota
NPI 1225373400

Dwayne Hicks is a Mental Health Counselor based in New Brighton, MN and is specialized in Mental Health. Dwayne Hicks practices in New Brighton, MN and has the professional credentials of LADC. The NPI Number for Dwayne Hicks is 1225373400 and holds a License No. 302645 (Minnesota).

The current practice location address for Dwayne Hicks is 1900 Silver Lake Rd Nw, New Brighton, MN and can be reached out via phone at 651-628-9566 and via fax at 651-628-0411.

Location: 1900 Silver Lake Rd Nw, New Brighton, MN, 55112-1786
person
Provider Profile Details
NPI Number
1225373400
Provider Name
Dwayne Hicks
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1900 Silver Lake Rd Nw, New Brighton, MN, 55112-1786
Phone Number
651-628-9566
Fax Number
651-628-0411
Provider Enumeration Date
11/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 Silver Lake Rd Nw
City
State
Zip
55112-1786
Phone Number
651-628-9566
Fax Number
651-628-0411
person
Provider Business Mailing Address Details
Address
1900 Silver Lake Rd Nw
City
State
Zip
55112-1786
Phone Number
651-628-9566
Fax Number
651-628-0411
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
302645 (Minnesota)
Definition
Definition to come...
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