Jordan Diane Hickson, LPC, NCC
Counselor in Rochester Hills, MI. Individual provider (NPI-1).
NPI number1336629948
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1336629948
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jordan Diane Hickson
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2018
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401013783 | MI | Yes |
Practice location
3389 Summit Ridge DrRochester Hills, MI 48306-2953
Phone 248-505-7712
Mailing address
3389 Summit Ridge DrRochester Hills, MI 48306-2953
Phone 248-505-7712
Other practice locations
640 N Old Woodward Ave Ste 301
Birmingham, MI 48009-3883
Birmingham, MI 48009-3883
Phone 248-505-7712
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