Individual
WILLIAM ADRIAN HICKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(501) 729-4479
(501) 729-3537
Mailing address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(501) 729-4479
(501) 729-3537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P9307011
AR
106H00000X
Marriage & Family Therapist
M9710034
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M9710034
LMFT
AR
01
—
P9307011
LPC
AR
Enumeration date
04/27/2012
Last updated
04/27/2012
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