Individual provider · Type 1 NPI
Darlene Hickerson, LCDC III
Addiction (Substance Use Disorder) Counselor · Cleveland, OH
NPI number
1235648254
Active
Practice location
1302 Winslow Avenue
Cleveland, OH 44113
Fax (216) 771-1563
Mailing address
1320 Washington Avenue
Cleveland, OH 44113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0.151168 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 161608 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1235648254
Darlene Hickerson, LCDC III's National Provider Identifier is 1235648254, issued on Sep 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Jun 29, 2018.