person
Debra A Hickmon, CACDIII
Addiction (Substance Use Disorder) Counselor in Lancaster, Wisconsin
NPI 1063440618

Debra A Hickmon is an Addiction (Substance Use Disorder) Counselor based in Lancaster, WI and is specialized in Addiction (Substance Use Disorder). Debra A Hickmon practices in Lancaster, WI and has the professional credentials of CACDIII. The NPI Number for Debra A Hickmon is 1063440618 and holds a License No. 1956 (Wisconsin).

The current practice location address for Debra A Hickmon is 200 W Alona Ln, Lancaster, WI and can be reached out via phone at 608-723-6357 and via fax at 608-723-4417.

Location: 200 W Alona Ln, Lancaster, WI, 53813-2202
person
Provider Profile Details
NPI Number
1063440618
Provider Name
Debra A Hickmon
Credential
CACDIII
Provider Entity Type
Individual
Gender
Female
Address
200 W Alona Ln, Lancaster, WI, 53813-2202
Phone Number
608-723-6357
Fax Number
608-723-4417
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11103 01 WI DEAN HEALTH PLANS
39396200 01 WI HIRSP
39396200 05 WI
institution
Provider Business Practice Location Address Details
Address
200 W Alona Ln
City
State
Zip
53813-2202
Phone Number
608-723-6357
Fax Number
608-723-4417
person
Provider Business Mailing Address Details
Address
200 W Alona Ln
City
State
Zip
53813-2202
Phone Number
608-723-6357
Fax Number
608-723-4417
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1956 (Wisconsin)
Definition
Definition to come...
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