Individual
JESSICA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMLP-T
Contact information
Practice address
1999 N AMIDON AVE STE 335, WICHITA, KS 67203-2152
(316) 247-0458
Mailing address
1999 N AMIDON AVE STE 335, WICHITA, KS 67203-2152
(316) 247-0458
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LMLP03207-T
KS
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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