Provider Demographics
NPI:1225361157
Name:HICKS, AUNJULI (PHD, LPC, NCC, ACS)
Entity Type:Individual
Prefix:DR
First Name:AUNJULI
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MILLBURN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1919
Mailing Address - Country:US
Mailing Address - Phone:908-364-7611
Mailing Address - Fax:908-913-0912
Practice Address - Street 1:116 MILLBURN AVE STE 104
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1919
Practice Address - Country:US
Practice Address - Phone:908-364-7611
Practice Address - Fax:908-913-0912
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007250101YM0800X
NJ5068141041S0200X, 1041S0200X
NJ37PC00408800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1861743361OtherGROUP NPI
NJ1861743361OtherGROUP NPI