Individual provider · Type 1 NPI

Jon Wesley Hickman, SUDRC

Student in an Organized Health Care Education/Training Program · Tehachapi, CA

NPI number 1598445231 Active

Practice location

410 W J St
Tehachapi, CA 93561-1411

Call (661) 750-0438 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15484 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598445231

Jon Wesley Hickman, SUDRC's National Provider Identifier is 1598445231, issued on Jul 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tehachapi, CA. The record was last updated on Sep 16, 2024.