Individual provider · Type 1 NPI

Kendall Raye Hickson

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1306288246 Active

Practice location

687 Cheshire Ave
Eugene, OR 97402-5060

Call (541) 684-4172 Map

Fax (541) 684-4156

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16-05-22

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306288246

Kendall Raye Hickson's National Provider Identifier is 1306288246, issued on Jul 19, 2013. 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 Apr 9, 2019.