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Jason David Hickmott
Professional Counselor in Matteson, Illinois
NPI 1730663782

Jason David Hickmott is a Professional Counselor based in Orland Park, IL and is specialized in Professional. Jason David Hickmott practices in Matteson, IL. The NPI Number for Jason David Hickmott is 1730663782 and holds a License No. 178014133 (Illinois).

The current practice location address for Jason David Hickmott is 3624 216Th St, Matteson, IL and can be reached out via phone at 815-274-4879.

Location: 3624 216Th St, Matteson, IL, 60462-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730663782
Provider Name
Jason David Hickmott
Credential
Provider Entity Type
Individual
Gender
Male
Address
3624 216Th St, Matteson, IL, 60462-2147
Phone Number
815-274-4879
Fax Number
Provider Enumeration Date
09/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3624 216Th St
City
Matteson
State
Illinois
Zip
60443-2713
Phone Number
815-274-4879
Fax Number
person
Provider Business Mailing Address Details
Address
3624 216Th St
City
Matteson
State
Illinois
Zip
60443-2713
Phone Number
815-274-4879
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178014133 (Illinois)
Definition
Definition to come...
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