Individual provider · Type 1 NPI

Stephen Hickman, LCDCIII

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1609190859 Active

Practice location

600 E Dayton Yellow Springs Rd
Fairborn, OH 45324-3995

Call (937) 879-3400 Map

Fax (937) 376-8204

Mailing address

452 W Market St
Xenia, OH 45385-2815

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X011303 (OH)

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

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About NPI 1609190859

Stephen Hickman, LCDCIII's National Provider Identifier is 1609190859, issued on Mar 17, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Mar 17, 2010.