Cory Joseph Bickham, LCDC

NPI #1518580570 in Manor, Texas

Provider Information

NPI Number: 1518580570
Entity Type: Individual
Name: Cory Joseph Bickham, LCDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCDC
Enumeration Date: May 26, 2020
Last Updated: May 26, 2020

Practice Location

Address: 11503 PARSONS RD
City: Manor
State: Texas
ZIP Code: 78653-5220
Phone: (512) 278-4923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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