Doctor Name: | MR. ROB HICKMAN |
NPI Number: | 1790873982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 00888 |
Business Practice Address: | 215 E Washington Clarinda, IA - 51632 |
Business Phone Number: | 7125423501 |
Business Fax Number: | 7125424725 |
Mailing Address: | 215 E Washington, CLARINDA |
State: | IA |
Postal Code: | 51632 |
Phone Number: | 7125423501 |
Fax Number: | 7125424725 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |