Individual provider · Type 1 NPI

Samantha Hickmon, LPC

Professional Counselor · Fayetteville, AR

NPI number 1306166368 Active

Practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 695-1240 Map

Fax (479) 750-4843

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA1502036 (AL)
Mental Health Counselor 101YM0800XA1502036 (AR)
Professional Counselor Primary 101YP2500XP1802019 (AR)

Professional Counselor: Definition to come...

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About NPI 1306166368

Samantha Hickmon, LPC's National Provider Identifier is 1306166368, issued on Jun 1, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Feb 28, 2018.