Individual provider · Type 1 NPI

Derwin L. Hickman Sr., M. DIV, QMHP-C

Addiction (Substance Use Disorder) Counselor · Richmond, VA

NPI number 1689307944 Active

Practice location

4825 S Laburnum Ave
Richmond, VA 23231-2713

Mailing address

5350 Lewis Rd Ste E
Sandston, VA 23150-1932

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X792-02-033 (VA)

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

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About NPI 1689307944

Derwin L. Hickman Sr., M. DIV, QMHP-C's National Provider Identifier is 1689307944, issued on Jul 5, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, VA. The record was last updated on Jul 5, 2022.