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Annelle M Hicks
Mental Health Counselor in Tigard, Oregon
NPI 1740576362

Annelle M Hicks is a Mental Health Counselor based in Cornelius, OR and is specialized in Mental Health. Annelle M Hicks practices in Tigard, OR. The NPI Number for Annelle M Hicks is 1740576362 and holds a License No. (Oregon).

The current practice location address for Annelle M Hicks is 10313 Sw 69Th Ave, Tigard, OR and can be reached out via phone at 503-726-3690.

Location: 10313 Sw 69Th Ave, Tigard, OR, 97113-8517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740576362
Provider Name
Annelle M Hicks
Credential
Provider Entity Type
Individual
Gender
Female
Address
10313 Sw 69Th Ave, Tigard, OR, 97113-8517
Phone Number
503-726-3690
Fax Number
Provider Enumeration Date
06/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10313 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-9103
Phone Number
503-726-3690
Fax Number
person
Provider Business Mailing Address Details
Address
10313 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-9103
Phone Number
503-726-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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