Individual
JEFFREY BRYAN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 906-0224
(601) 957-7344
Mailing address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 906-0224
(601) 957-7344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1305
MS
Other
Enumeration date
01/05/2008
Last updated
08/12/2013
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