Shannon Camp Hicks, LPC Valid NPI

Individual provider · Mental Health Counselor · Texarkana, TX

NPI

1104944883

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

P1503027 (AR)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-27

Last updated

2021-05-03