Individual
MR. JAMES LYLE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
Mailing address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2065C
AL
1041C0700X
Clinical Social Worker
2065C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051522944
BCBS OF AL PROVIDER #
AL
01
—
051522944
BCBS OF AL
—
Enumeration date
11/30/2006
Last updated
08/03/2021
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