Individual
ANDREA B HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LMHC
Contact information
Practice address
20174 FRONT ST NE, C/O FRONT STREET CLINIC, POULSBO, WA 98370-7445
(503) 329-8633
Mailing address
4510 PICKEREL CIR NW, APARTMENT A, SILVERDALE, WA 98315-9765
(503) 329-8633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
10/24/2013
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