Larry Vernon Hicks M.F.T.

NPI 1780728253 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1780728253
Gender Male
Enumeration Date 02/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
193 FAIRVIEW LN STE D
SONORA CA, 95370-4828, US
Phone (209) 532-3086
Fax (209) 532-4086
Business Location
193 FAIRVIEW LN STE D
SONORA CA, 95370-4828, US
Phone (209) 532-3086
Fax (209) 532-4086
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC16342
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According to our database, Mr. Larry Vernon Hicks M.F.T. NPI is 1780728253, taxonomy code is 106H00000X and license number is MFC16342, license state is located at California. Larry Vernon Hicks M.F.T. physically located at 193 Fairview Ln Ste D, Sonora CA, 95370-4828. NPI Number Larry Vernon Hicks M.F.T. has the Individual type.

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1780728253 NPI number is provided on an as is basis without warranty of any kind. 1780728253 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Vernon Hicks M.F.T. are for informational purposes only.