KERRY JAMES HICKS RADT NPI 1841941499

NPI Information

NPI: 1841941499
Provider Name: KERRY JAMES HICKS, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
44199 MONROE ST STE B
INDIO, CA
ZIP 92201
Phone: (760) 863-8074
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Kerry James Hicks, RADT is an addiction (substance use disorder) counselor in Indio, CA. Kerry James Hicks, RADT NPI is 1841941499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

44199 MONROE ST STE B
INDIO, CA
ZIP 92201-094
Phone: (760) 863-8074

The enumeration date for this NPI number is 1/14/2022 and was last updated on 4/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician		R1404530920	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		CALIFORNIA	No
3	171M00000X	Case Manager/Care Coordinator				No
4	175T00000X	Peer Specialist			CALIFORNIA	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17453	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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