Individual provider · Type 1 NPI

Ruth Tracey Hickmon, LMHC

Counselor · Gainesville, FL

NPI number 1366087694 Active

Practice location

4131 NW 13th St Ste 206
Gainesville, FL 32609-1863

Mailing address

1325 SE 19th Ter
Gainesville, FL 32641-0710

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XMH16904 (FL)
Mental Health Counselor 101YM0800XMH16904 (FL)
Counselor Primary 101Y00000XMH16904 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366087694

Ruth Tracey Hickmon, LMHC's National Provider Identifier is 1366087694, issued on Nov 11, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gainesville, FL. The record was last updated on Nov 11, 2019.