Individual
OLIVIA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
604 LAFAYETTE ST FL 2, WATERLOO, IA 50703-4708
(319) 859-7715
(515) 220-2272
Mailing address
604 LAFAYETTE ST FL 2, WATERLOO, IA 50703-4708
(319) 859-7715
(515) 220-2272
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
098682
IA
Other
Enumeration date
01/19/2016
Last updated
05/10/2022
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