Doctor Name: | STEPHANIE STEPHENS HICKERSON |
NPI Number: | 1124328240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC0000002285 |
Business Practice Address: | 1453 A Hope Way Murfreesboro, TN - 371293140 |
Business Phone Number: | 6158939390 |
Business Fax Number: | 6158934966 |
Mailing Address: | 1453 A Hope Way, MURFREESBORO |
State: | TN |
Postal Code: | 371293140 |
Phone Number: | 6158939390 |
Fax Number: | 6158934966 |
NPI Enumeration Date: | 10/22/2010 |
NPI Last Update Date: | 10/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC0000002285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |