Individual
JARI A HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S 62ND AVE, YAKIMA, WA 98908-3516
(509) 901-0579
Mailing address
206 S 62ND AVE, YAKIMA, WA 98908-3516
(509) 901-0579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006268
WA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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