National Provider Identifier

Shaneal Marie Hicks

Shaneal Marie Hicks is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 422-2002.

NPI 1346912615Buffalo, NYCounselor

Source: public NPPES record, last updated October 10, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1346912615
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 04, 2021
Last Updated
October 10, 2021

Practice Location

  • 1500 Broadway St
  • Buffalo, NY 14212-1862

Phone: (716) 422-2002

Specialties

  • Counselor (101Y00000X)

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Biography

Shaneal Marie Hicks is a Buffalo, New York-based counselor listed in the CMS NPI Registry. I did not find reliable public sources showing a health-system affiliation, faculty role, formal training profile, board certification, research work, leadership post, or notable prior practice history.

Full Record
NPI
1346912615
Entity Type
Individual
Last Name
Hicks
First Name
Shaneal
Middle Name
Marie
Mailing Street Address
1500 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1862
Mailing Country
US
Mailing Phone
(716) 422-2002
Mailing Fax
(716) 893-0128
Practice Street Address
1500 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1862
Practice Country
US
Practice Phone
(716) 422-2002
Practice Fax
(716) 893-0128
Enumeration Date
October 04, 2021
Last Updated
October 10, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 06, 2021
Taxonomies
Counselor (101Y00000X)