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Kerry James Hicks, RADT
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1841941499

Kerry James Hicks is an Addiction (Substance Use Disorder) Counselor based in Desert Hot Springs, CA and is specialized in Addiction (Substance Use Disorder). Kerry James Hicks practices in Indio, CA and has the professional credentials of RADT. The NPI Number for Kerry James Hicks is 1841941499 and holds a License No. R1404530920 (California).

The current practice location address for Kerry James Hicks is 44199 Monroe St Ste B, Indio, CA and can be reached out via phone at 760-863-8074.

Location: 44199 Monroe St Ste B, Indio, CA, 92240-5828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841941499
Provider Name
Kerry James Hicks
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
44199 Monroe St Ste B, Indio, CA, 92240-5828
Phone Number
760-863-8074
Fax Number
Provider Enumeration Date
01/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44199 Monroe St Ste B
City
Indio
State
California
Zip
92201-3094
Phone Number
760-863-8074
Fax Number
person
Provider Business Mailing Address Details
Address
44199 Monroe St Ste B
City
Indio
State
California
Zip
92201-3094
Phone Number
760-863-8074
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
(California)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
R1404530920 (California)
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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