Individual provider · Type 1 NPI

Jannavie Dawn Hickman, M.A.

Mental Health Counselor · Placerville, CA

NPI number 1174710172 Active

Practice location

6765 Green Valley Rd
Placerville, CA 95667-8984

Call (530) 622-5551 Map

Fax (530) 622-5800

Specialties and licenses

TaxonomyCodeLicense
Forensic Psychologist 103TF0200XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174710172

Jannavie Dawn Hickman, M.A.'s National Provider Identifier is 1174710172, issued on Oct 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Placerville, CA. The record was last updated on Feb 7, 2014.