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Shayla Renee Hickman, LCPC
Counselor in Ammon, Idaho
NPI 1225515299

Shayla Renee Hickman is a Counselor based in Ammon, ID. Shayla Renee Hickman practices in Ammon, ID and has the professional credentials of LCPC. The NPI Number for Shayla Renee Hickman is 1225515299 and holds a License No. LPC-6891 (Idaho).

The current practice location address for Shayla Renee Hickman is 2705 E 17Th St, Ammon, ID and can be reached out via phone at 208-346-7500 and via fax at 208-346-7501.

Location: 2705 E 17Th St, Ammon, ID, 83406-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225515299
Provider Name
Shayla Renee Hickman
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2705 E 17Th St, Ammon, ID, 83406-6601
Phone Number
208-346-7500
Fax Number
208-346-7501
Provider Enumeration Date
07/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2705 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6601
Phone Number
208-346-7500
Fax Number
208-346-7501
person
Provider Business Mailing Address Details
Address
2705 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6601
Phone Number
208-346-7500
Fax Number
208-346-7501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC-6891 (Idaho)
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's degree and clinical experience and supervision for licensure or certification.
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