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NPI Code Detail

MEDICARE: CURTIS HICKSON

MEDICARE: CURTIS HICKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1316228968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS HICKSON
Provider Business Mailing Address
First Line : 5515 SCRUGGS LN APT 311
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 174 IMPERIAL BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3440
Country : US
Telephone Number : 615-824-8633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 08/13/2021

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