Hicks, Taylor James Robert

Hicks, Taylor James Robert is an individual health care provider with primary practice located at 3900 Rocklin Rd Ste 100 , Rocklin CA 95677-2708. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hicks, Taylor James Robert can be contacted via phone (916) 234-0097.

Contact Information

Primary practice address
3900 Rocklin Rd Ste 100 Rocklin CA 95677-2708
Phone: (916) 234-0097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X RACPS9941120 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RA9931120 California

Profile Details

NPI number 1942925441
LBN Legal business name Hicks, Taylor James Robert
Credentials CADC II, CRPS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2022
Last updated Oct 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942925441 NPPES
California Other RACPS9941120 CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS
California Other RA9931120 CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS

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