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Organization

SHASTA HICKMAN COUNSELING AND COACHING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHASTA HICKMAN MA, LMHC, LPC (OWNER)
(971) 303-9868
Entity
Organization

Contact information

Practice address
1400 BROADWAY ST NE STE 206, SALEM, OR 97301-0504
(971) 303-9868
Mailing address
1400 BROADWAY ST NE STE 206, SALEM, OR 97301-0504
(971) 303-9868

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/11/2024
Last updated
08/13/2025
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