Individual
MRS. TIFFANY HICKMAN-GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1323 HAMRIC DR E STE A, OXFORD, AL 36203-1917
(256) 835-4883
Mailing address
400 COTTON GIN RD, MONTGOMERY, AL 36117-3557
(256) 835-4883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3099
AL
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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