NICOLE R HICKMAN

GRASS VALLEY, CA
NPI1598370561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1385100420)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-09-15
Last Update Date2020-12-17
Business Address
NICOLE R HICKMAN RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-1140
Mailing Address
NICOLE R HICKMAN RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-1140