Individual
MS. BROOKE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5966 S HIGHWAY 77, RIVIERA, TX 78379-3598
(361) 296-4051
Mailing address
PO BOX 253, RIVIERA, TX 78379-0253
(361) 296-4051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
86180
TX
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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