Jon Wesley Hickman, SUDRC
NPI #1598445231 in Tehachapi, California
Provider Information
- NPI Number
- 1598445231
- Entity Type
- Individual
- Name
- Jon Wesley Hickman, SUDRC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- SUDRC
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 410 W J ST
- City
- Tehachapi
- State
- California
- ZIP Code
- 93561-1411
- Phone
- (661) 750-0438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Student in an Organized Health Care Education/Training Program |
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