Individual
ASHLEY HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 330-6790
Mailing address
122 RUSSETT LN, MIDDLETOWN, CT 06457-5811
(860) 262-1184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
222562827
CT
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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