Individual
GREGORY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS - 230010494
Contact information
Practice address
19445 SITTING BULL RD, APPLE VALLEY, CA 92308-5002
(760) 961-8479
Mailing address
12555 NAVAJO RD, APPLE VALLEY, CA 92308-7256
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230010494
CA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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