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Individual

DAVID HICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, CADC II, QMHA

Contact information

Practice address
1856 GRAND PRAIRIE RD SE, ALBANY, OR 97322-5521
(541) 393-0777
Mailing address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OR
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/03/2016
Last updated
09/23/2020
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