Individual
JORDAN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1072 S COX ST, MEMPHIS, TN 38104-5814
(816) 868-0181
Mailing address
1072 S COX ST, MEMPHIS, TN 38104-5814
(816) 868-0181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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