Individual
JAMES HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 SHELTON BLVD, EASTLAKE, OH 44095-1066
(440) 223-6252
Mailing address
147 SHELTON BLVD, EASTLAKE, OH 44095-1066
(440) 223-6252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
APS.006927
OH
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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