Individual provider · Type 1 NPI

Nakita Dominique Cleveland Hickles, LPC

Professional Counselor · Glendale, WI

NPI number 1396556965 Active

Practice location

5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927

Mailing address

2909 N 52nd St
Milwaukee, WI 53210-1610

Other practice locations

  • 2909 N 52nd St, Milwaukee, WI 53210-1610 · (414) 460-8716

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10085-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1396556965

Nakita Dominique Cleveland Hickles, LPC's National Provider Identifier is 1396556965, issued on Jan 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, WI. The record was last updated on Feb 24, 2025.