Individual
JAMIE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W USTICK RD, MERIDIAN, ID 83646-7733
(208) 576-6464
Mailing address
10121 W EDNA ST, BOISE, ID 83704-4067
(208) 859-9577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6553
ID
Other
Enumeration date
08/30/2023
Last updated
08/31/2023
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