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Organization
SHASTA HICKMAN COUNSELING AND COACHING PLLC
Active
Organization
SHASTA HICKMAN COUNSELING AND COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHASTA HICKMAN MA, LMHC, LPC (OWNER)
(971) 303-9868
Entity
Organization
Contact information
Practice address
1400 BROADWAY ST NE STE 206, SALEM, OR 97301-0504
(971) 303-9868
Mailing address
1400 BROADWAY ST NE STE 206, SALEM, OR 97301-0504
(971) 303-9868
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
08/13/2025
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