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Carrie Jl Hickman, PHD,MS
Mental Health Counselor in Longview, Washington
NPI 1457927410

Carrie Jl Hickman is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Carrie Jl Hickman practices in Longview, WA and has the professional credentials of PHD,MS. The NPI Number for Carrie Jl Hickman is 1457927410 and holds a License No. CG61169681 (Washington).

The current practice location address for Carrie Jl Hickman is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 748 14Th Ave, Longview, WA, 98632-8455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457927410
Provider Name
Carrie Jl Hickman
Credential
PHD,MS
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632-8455
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MC61257898 (Washington)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61169681 (Washington)
Definition
Definition to come...
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