Regina N Bickham, BA, MACMHC

NPI #1609364983 in Lagrange, Georgia

Provider Information

NPI Number: 1609364983
Entity Type: Individual
Name: Regina N Bickham, BA, MACMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA, MACMHC
Enumeration Date: Apr 23, 2018
Last Updated: Apr 23, 2018

Practice Location

Address: 122 GORDON COMMERCIAL DR STE C
City: Lagrange
State: Georgia
ZIP Code: 30240-5754
Phone: (706) 845-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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