Individual
AMBER RENAE HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC, NCC
Contact information
Practice address
126 ENTERPRISE PATH STE 201, HIRAM, GA 30141-2654
(678) 567-0920
(678) 567-0950
Mailing address
126 ENTERPRISE PATH STE 201, HIRAM, GA 30141-2654
(678) 567-0920
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006789
GA
101YM0800X
Mental Health Counselor
LPC012051
GA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
12/11/2018
Last updated
02/06/2023
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