Individual provider · Type 1 NPI

Bruce Hickerson

Mental Health Counselor · Berlin, NJ

NPI number 1285869909 Active

Practice location

175 Cross Keys Rd
Berlin, NJ 08009-9263

Mailing address

19 E Ormond Ave
Cherry Hill, NJ 08034-2053

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285869909

Bruce Hickerson's National Provider Identifier is 1285869909, issued on May 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berlin, NJ. The record was last updated on May 26, 2009.