NPI 1053712711

Vivian Hicks, MA

Practitioner Mental Health Counselor Jamestown, KY

Practice location

Address: 79 Lilly Creek Ln, Jamestown, KY 42629-7924
Phone: (253) 625-0141
Fax: (253) 302-5406

Registered specialties (3)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence MC60587450 (WA)

Other Counselor providers in Kentucky →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CO 60457984 (WA)

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 275012 (KY)

Registry record

NPI: 1053712711
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2014
Record last updated: 12 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.