Individual
NINA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3033 EXCELSIOR BLVD STE 465, MINNEAPOLIS, MN 55416-3372
(612) 964-8252
Mailing address
4610 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-4032
(612) 964-8252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01603
MN
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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