Individual provider · Type 1 NPI
Matt Hickman, LCPC
Professional Counselor · Bloomington, IL
NPI number
1669022281
Active
Practice location
207 W Jefferson St Ste 401
Bloomington, IL 61701-3969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.013357 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1669022281
Matt Hickman, LCPC's National Provider Identifier is 1669022281, issued on Sep 16, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomington, IL. The record was last updated on Sep 8, 2022.