Individual
AMANDA HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2202 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Mailing address
2202 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004243
VA
Other
Enumeration date
01/10/2008
Last updated
01/09/2014
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