Kerry James Hicks, SUDCC - Counselor in Indio, CA

Kerry James Hicks, SUDCC is a Counselor - Addiction (substance Use Disorder) based in Indio, California. Kerry James Hicks is licensed to practice in California (license number 17453) and his current practice location is 44199 Monroe St Ste B, Indio, California. He can be reached at his office (for appointments etc.) via phone at (760) 863-8074.

NPI number for Kerry James Hicks is 1841941499 and his current mailing address is 44199 Monroe St, Indio, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841941499.

Contact Information

Kerry James Hicks, SUDCC
44199 Monroe St Ste B,
Indio, CA 92201-3094
(760) 863-8074
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKerry James Hicks
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location44199 Monroe St Ste B, Indio, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841941499
  • Provider Enumeration Date: 01/14/2022
  • Last Update Date: 02/03/2026

Medical Identifiers

Medical identifiers for Kerry James Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841941499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 17453 (California)Primary
106S00000XBehavior Technician R1404530920 (California)Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (California)Secondary
175T00000XPeer Specialist (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry James Hicks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kerry James Hicks, SUDCC
44199 Monroe St,
Indio, CA 92201-3096

Ph: (916) 936-7712
Kerry James Hicks, SUDCC
44199 Monroe St Ste B,
Indio, CA 92201-3094

Ph: (760) 863-8074

Reviews and Comments


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