Search › California › 101YA0400X
Irene Hicks, CATC
NPI 1649365933 · on the registry since 2006
Practice
- Address
- 101 Avenida Serra
San Clemente, CA 92672 - Phone
- (949) 366-9210
- Fax
- (949) 498-5706
- Organisation at this address
- The Mainstream Group, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California