Individual provider · Type 1 NPI

Kellie Hickson

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1205371978 Active

Practice location

78 Centennial Loop Ste A
Eugene, OR 97401-7900

Call (541) 393-0777 Map

Fax (541) 687-9279

Other practice locations

  • 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 · (707) 576-0818

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 1205371978

Kellie Hickson's National Provider Identifier is 1205371978, issued on Jan 4, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Jun 24, 2025.