Individual provider · Type 1 NPI

Paul T. Hickerson, PhD, LPC

Mental Health Counselor · Russellville, AR

NPI number 1134411036 Active

Practice location

106 E Main
Russellville, AR 72801-5128

Call (479) 692-1208 Map

Fax (866) 538-2772

Mailing address

PO Box 1251
Farmington, AR 72730-9998

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP1408057 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1134411036

Paul T. Hickerson, PhD, LPC's National Provider Identifier is 1134411036, issued on May 10, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Russellville, AR. The record was last updated on Nov 15, 2023.