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Thomas John Hicks
Peer Specialist in Sallisaw, Oklahoma
NPI 1548850126

Thomas John Hicks is a Peer Specialist based in Sallisaw, OK. Thomas John Hicks practices in Sallisaw, OK. The NPI Number for Thomas John Hicks is 1548850126 and holds a License No. (Oklahoma).

The current practice location address for Thomas John Hicks is 1630 S Kerr Blvd, Sallisaw, OK and can be reached out via phone at 918-790-2653. You can also correspond with Thomas John Hicks through the mailing address at 701 KODY LN, SALLISAW, OK - 74955-2021 (mailing address contact number: 918-571-6777).

Location: 1630 S Kerr Blvd, Sallisaw, OK, 74955-2021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548850126
Provider Name
Thomas John Hicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1630 S Kerr Blvd, Sallisaw, OK, 74955-2021
Phone Number
918-790-2653
Fax Number
Provider Enumeration Date
01/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1630 S Kerr Blvd
City
Sallisaw
State
Oklahoma
Zip
74955-7240
Phone Number
918-790-2653
Fax Number
person
Provider Business Mailing Address Details
Address
1630 S Kerr Blvd
City
Sallisaw
State
Oklahoma
Zip
74955-7240
Phone Number
918-790-2653
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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