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Individual

ELISABETH EGAN HICKOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
20 SUDESTE PL, SANTA FE, NM 87508-9380
(512) 516-1543
(505) 983-2167
Mailing address
20 SUDESTE PL, SANTA FE, NM 87508-9380
(512) 516-1543
(505) 983-2167

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
81544
TX
101YP2500X
Professional Counselor
CCMH0209991
NM

Other

Enumeration date
01/28/2008
Last updated
02/07/2026
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