Individual
CHAD MICHAEL HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, MD, LICDC
Contact information
Practice address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
(740) 353-4673
Mailing address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
(740) 353-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
E.2203206
OH
Other
Enumeration date
09/20/2017
Last updated
10/18/2023
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