person
Shasta Hickman, LMHC
Mental Health Counselor in Vancouver, Washington
NPI 1245885250

Shasta Hickman is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Shasta Hickman practices in Vancouver, WA and has the professional credentials of LMHC. The NPI Number for Shasta Hickman is 1245885250 and holds a License No. C6107 (Washington).

The current practice location address for Shasta Hickman is 12306 Se Mill Plain Blvd Ste 250, Vancouver, WA and can be reached out via phone at 971-303-9868 and via fax at 844-222-8707.

Location: 12306 Se Mill Plain Blvd Ste 250, Vancouver, WA, 98684-6072
person
Provider Profile Details
NPI Number
1245885250
Provider Name
Shasta Hickman
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
12306 Se Mill Plain Blvd Ste 250, Vancouver, WA, 98684-6072
Phone Number
971-303-9868
Fax Number
844-222-8707
Provider Enumeration Date
08/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12306 Se Mill Plain Blvd Ste 250
City
State
Zip
98684-6072
Phone Number
971-303-9868
Fax Number
844-222-8707
person
Provider Business Mailing Address Details
Address
12306 Se Mill Plain Blvd Ste 250
City
State
Zip
98684-6072
Phone Number
971-303-9868
Fax Number
844-222-8707
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C6107 (Oregon)
Definition
Definition to come...
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