Individual provider · Type 1 NPI

Khadijah Hickman

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1174399703 Active

Practice location

215 Cushman St
Fairbanks, AK 99701-4639

Call (907) 374-1097 Map

Mailing address

PO Box 73004
Fairbanks, AK 99707-3004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174399703

Khadijah Hickman's National Provider Identifier is 1174399703, issued on Nov 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 27, 2023.