Individual provider · Type 1 NPI

Nicole Hickerson

Counselor · Inglewood, CA

NPI number 1376910661 Active

Practice location

1007 Myrtle Ave
Inglewood, CA 90301-4009

Call (310) 412-4191 Map

Fax (310) 412-3942

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Counselor Primary 101Y00000XNone listed

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 1376910661

Nicole Hickerson's National Provider Identifier is 1376910661, issued on Aug 21, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Inglewood, CA. The record was last updated on Oct 20, 2015.