Individual
DR. PAUL T HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
106 E MAIN, RUSSELLVILLE, AR 72801-5128
(479) 692-1208
(866) 538-2772
Mailing address
PO BOX 1251, FARMINGTON, AR 72730-9998
(479) 692-1208
(866) 538-2772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1408057
AR
Other
Enumeration date
05/10/2011
Last updated
11/15/2023
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