Individual provider · Type 1 NPI

Tracy Elaine Hickman, CRC, LPC, LCAS

Mental Health Counselor · Charlotte, NC

NPI number 1851611404 Active

Practice location

5820 E Wt Harris Blvd, Suite 211
Charlotte, NC 28215-3541

Call (704) 566-3410 Map

Fax (704) 537-1226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1583 (NC)
Mental Health Counselor Primary 101YM0800X3194 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1851611404

Tracy Elaine Hickman, CRC, LPC, LCAS's National Provider Identifier is 1851611404, issued on Jun 6, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jun 6, 2010.