Individual
MR. ANDREW RICHARD HICKAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LPA
Contact information
Practice address
500 JOHNSON ST, BIG SPRING, TX 79720-2644
(432) 263-3868
(432) 263-3402
Mailing address
PO BOX 1932, BIG SPRING, TX 79721-1932
(432) 263-3868
(432) 263-3402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPA 15197
TX
101YM0800X
Mental Health Counselor
Primary
LPC 16145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959942-02
—
TX
01
—
4163LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/30/2006
Last updated
02/20/2012
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