person
Mr. Derwin L Hickman SR., MDIV,QMHP-C
Addiction (Substance Use Disorder) Counselor in Richmond, Virginia
NPI 1689307944

Derwin L Hickman SR. is an Addiction (Substance Use Disorder) Counselor based in Sandston, VA and is specialized in Addiction (Substance Use Disorder). Derwin L Hickman SR. practices in Richmond, VA and has the professional credentials of MDIV,QMHP-C. The NPI Number for Derwin L Hickman SR. is 1689307944 and holds a License No. 792-02-033 (Virginia).

The current practice location address for Derwin L Hickman SR. is 4825 S Laburnum Ave, Richmond, VA and can be reached out via phone at 804-328-1790.

Location: 4825 S Laburnum Ave, Richmond, VA, 23150-1932
person
Provider Profile Details
NPI Number
1689307944
Provider Name
Derwin L Hickman SR.
Credential
MDIV,QMHP-C
Provider Entity Type
Individual
Gender
Male
Address
4825 S Laburnum Ave, Richmond, VA, 23150-1932
Phone Number
804-328-1790
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4825 S Laburnum Ave
City
State
Zip
23231-2713
Phone Number
804-328-1790
Fax Number
person
Provider Business Mailing Address Details
Address
4825 S Laburnum Ave
City
State
Zip
23231-2713
Phone Number
804-328-1790
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
792-02-033 (Virginia)
Definition
Definition to come...
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