person
Kendall Raye Hickson
Addiction (Substance Use Disorder) Counselor in Eugene, Oregon
NPI 1306288246

Kendall Raye Hickson is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Kendall Raye Hickson practices in Eugene, OR. The NPI Number for Kendall Raye Hickson is 1306288246 and holds a License No. 16-05-22 (Oregon).

The current practice location address for Kendall Raye Hickson is 687 Cheshire Ave, Eugene, OR and can be reached out via phone at 541-684-4172 and via fax at 541-684-4156.

Location: 687 Cheshire Ave, Eugene, OR, 97402-5060
person
Provider Profile Details
NPI Number
1306288246
Provider Name
Kendall Raye Hickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
687 Cheshire Ave, Eugene, OR, 97402-5060
Phone Number
541-684-4172
Fax Number
541-684-4156
Provider Enumeration Date
07/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500661497 05 OR
institution
Provider Business Practice Location Address Details
Address
687 Cheshire Ave
City
State
Zip
97402-5060
Phone Number
541-684-4172
Fax Number
541-684-4156
person
Provider Business Mailing Address Details
Address
687 Cheshire Ave
City
State
Zip
97402-5060
Phone Number
541-684-4172
Fax Number
541-684-4156
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16-05-22 ()
Definition
Definition to come...
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