Jamie Hickman, MA
Counselor in Baltimore, MD. Individual provider (NPI-1).
NPI number1124656384
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1124656384
- Entity type
- Individual (NPI-1)
- Name
- Jamie Hickman
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LGP10322 | MD | Yes |
| 101YM0800X | Counselor, Mental Health | LGP10322 | MD |
Practice location
124 Slade Ave Ste 101Baltimore, MD 21208-4900
Phone 443-680-7931
Mailing address
4103 Callaway AveBaltimore, MD 21215-6113
Phone 443-680-7931
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