Individual provider · Type 1 NPI
Corey Hickenbottom
Addiction (Substance Use Disorder) Counselor · Ottumwa, IA
NPI number
1609768936
Active
Practice location
310 W Main St
Ottumwa, IA 52501-2523
Mailing address
403 W Broadway Ave
Fairfield, IA 52556-3234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609768936
Corey Hickenbottom's National Provider Identifier is 1609768936, issued on Jul 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ottumwa, IA. The record was last updated on Jul 21, 2025.