person
Dr. Paul T Hickerson, PHD,LPC
Mental Health Counselor in Russellville, Arkansas
NPI 1134411036

Paul T Hickerson is a Mental Health Counselor based in Farmington, AR and is specialized in Mental Health. Paul T Hickerson practices in Russellville, AR and has the professional credentials of PHD,LPC. The NPI Number for Paul T Hickerson is 1134411036 and holds a License No. P1408057 (Arkansas).

The current practice location address for Paul T Hickerson is 106 E Main, Russellville, AR and can be reached out via phone at 479-692-1208 and via fax at 866-538-2772.

Location: 106 E Main, Russellville, AR, 72730-9998
person
Provider Profile Details
NPI Number
1134411036
Provider Name
Paul T Hickerson
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Male
Address
106 E Main, Russellville, AR, 72730-9998
Phone Number
479-692-1208
Fax Number
866-538-2772
Provider Enumeration Date
05/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 E Main
City
State
Zip
72801-5128
Phone Number
479-692-1208
Fax Number
866-538-2772
person
Provider Business Mailing Address Details
Address
106 E Main
City
State
Zip
72801-5128
Phone Number
479-692-1208
Fax Number
866-538-2772
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1408057 (Arkansas)
Definition
Definition to come...
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