| Doctor Name: | RICARDO HICKS |
| NPI Number: | 1033571690 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, CADC |
| License Number: | 1028 |
| Business Practice Address: | 4222 Fortuna Center Plz Dumfries, VA - 220251515 |
| Business Phone Number: | 5713947833 |
| Business Fax Number: | |
| Mailing Address: | 3324 Dondis Creek Dr, TRIANGLE |
| State: | VA |
| Postal Code: | 221722088 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2016 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1028 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |