Individual
CHANTELL HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCDC III
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1801309
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
161659
OH
101YP2500X
Professional Counselor
C.2002823
OH
101YP2500X
Professional Counselor
Primary
E.2404935
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/14/2018
Last updated
01/07/2025
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