Larry Vernon Hicks in Sonora - Marriage & Family Therapist

Larry Vernon Hicks - NPI 1780728253

Larry Vernon Hicks is a Marriage & Family Therapist in Sonora, California. Larry Vernon Hicks practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Larry Vernon Hicks is 1780728253. The last update date is 2007-07-08.

Larry Vernon Hicks's current location address is 193 Fairview Ln Ste D, Sonora, California. You can contact this provider via phone number 2095323086 and fax number 2095324086. The mailing address for Larry Vernon Hicks is 193 Fairview Ln Ste D, Sonora, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Vernon Hicks
Address 193 Fairview Ln Ste D, Sonora, California
Phone Number 2095323086
Fax Number 2095324086
Sole Proprietor Y
Credentials M.F.T.

NPI Number Detail

NPI Number 1780728253
Provider Enumeration Date 2007-02-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 193 Fairview Ln Ste D
City Sonora
State California (CA)
Post Code 953704828
Phone Number 2095323086
Fax Number 2095324086

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No MFC16342
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

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FAQs about Larry Vernon Hicks

What is the Larry Vernon Hicks's unique identification number?

The Larry Vernon Hicks has been assigned the NPI (National Provider Identifier) Number 1780728253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Larry Vernon Hicks's facilities are situated?

The facilities of Larry Vernon Hicks are physically located at the following address: 193 Fairview Ln Ste D, Sonora, CA, 953704828.

What is Larry Vernon Hicks's specialized field of practice, and what is the corresponding taxonomy classification code?

The Larry Vernon Hicks's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780728253 to Larry Vernon Hicks?

The Larry Vernon Hicks received its 1780728253 assignment from the Centers for Medicare & Medicaid Services on 2007-02-17.

As of what date were the details related to Larry Vernon Hicks most recently updated or revised?

The information pertaining to Larry Vernon Hicks, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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