person
Alonzo Anthony Hickerson
Mental Illness Community Based Residential Treatment Facility in Reno, Nevada
NPI 1811294721

Alonzo Anthony Hickerson is a Mental Illness Community Based Residential Treatment Facility based in Reno, NV. Alonzo Anthony Hickerson practices in Reno, NV. The NPI Number for Alonzo Anthony Hickerson is 1811294721 and holds a License No. (Nevada).

The current practice location address for Alonzo Anthony Hickerson is 3100 Mill St, Reno, NV and can be reached out via phone at 775-348-8048 and via fax at 775-348-8048.

Location: 3100 Mill St, Reno, NV, 89502-2259
person
Provider Profile Details
NPI Number
1811294721
Provider Name
Alonzo Anthony Hickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 Mill St, Reno, NV, 89502-2259
Phone Number
775-348-8048
Fax Number
775-348-8048
Provider Enumeration Date
02/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100511515 05 NV
institution
Provider Business Practice Location Address Details
Address
3100 Mill St
City
State
Zip
89502-2259
Phone Number
775-348-8048
Fax Number
775-348-8048
person
Provider Business Mailing Address Details
Address
3100 Mill St
City
State
Zip
89502-2259
Phone Number
775-348-8048
Fax Number
775-348-8048
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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