Individual
MRS. LATICIA BICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2901 PINE BLUFF RD, NEWTON, MS 39345
(601) 479-0264
Mailing address
5360 16TH AVE, MERIDIAN, MS 39305-1709
(601) 479-0264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1292
MS
251E00000X
Home Health Agency
—
—
Other
Enumeration date
09/10/2007
Last updated
02/23/2011
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