| Doctor Name: | MR. DAVID MERRITT HICKS |
| NPI Number: | 1003130535 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CO60131166 |
| License Number: | 101YAO400X |
| Business Practice Address: | 2610 Wetmore Ave Everett, WA - 982012927 |
| Business Phone Number: | 4252585270 |
| Business Fax Number: | 4252585275 |
| Mailing Address: | Po Box 18442, SEATTLE |
| State: | WA |
| Postal Code: | 981180442 |
| Phone Number: | 2069419925 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2010 |
| NPI Last Update Date: | 03/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 101YAO400X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |