Individual provider · Type 1 NPI

Alex Michael Hickinbotham, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1790226264 Active

Practice location

680 Park Ave W
Mansfield, OH 44906-3706

Call (419) 528-5993 Map

Mailing address

876 Arlington Ave
Mansfield, OH 44903-7020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X141590 (OH)

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

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About NPI 1790226264

Alex Michael Hickinbotham, CDCA's National Provider Identifier is 1790226264, issued on Mar 16, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Mar 16, 2017.