TRACEY L HICKS MCJ - NPI 1073818860 - Counselor in Peoria, AZ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Tracey L Hicks Mcj NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY L HICKS MCJ (NPI 1073818860) is an individual counselor in Peoria, Arizona and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1073818860

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTRACEY L HICKSCredential: MCJ

Location Address9250 W LONE CACTUS DRPeoria, AZ 85382-8329

Mailing Address9250 W Lone Cactus DrPeoria, AZ 85382-8329 · (480) 819-3249

Phone(480) 819-3249

Sole ProprietorNo

Enumeration DateJanuary 25, 2011

Last NPPES UpdateFebruary 22, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1073818860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior AnalystTaxonomy 103K00000X

9250 W LONE CACTUS DR, Peoria, AZ 85382

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