Individual
MR. CHRISTOPHER EDWARDS HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRIMARY THERAPIST
Contact information
Practice address
218 LAKE POINTE DR APT 201, OAKLAND PARK, FL 33309-3583
(954) 901-9317
Mailing address
218 LAKE POINTE DR APT 201, OAKLAND PARK, FL 33309-3583
(954) 901-9317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH15347
FL
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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