Michael Lee Hickman, CDCA

NPI #1699203752 in Waverly, Ohio

Provider Information

NPI Number: 1699203752
Entity Type: Individual
Name: Michael Lee Hickman, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: CDCA
Enumeration Date: Jun 1, 2017
Last Updated: Aug 14, 2025

Practice Location

Address: 14574 US HIGHWAY 23
City: Waverly
State: Ohio
ZIP Code: 45690-9373
Phone: (740) 912-9093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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