Individual
LUKE J HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1603 E ILLINOIS ST, BELLINGHAM, WA 98226-3644
(360) 647-4266
Mailing address
1603 E ILLINOIS ST, BELLINGHAM, WA 98226-3644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61595003
WA
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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