Andrea B Hickman, MED, LMHC | |
20174 Front St Ne, C/o Front Street Clinic, Poulsbo, WA 98370-7445 | |
(503) 329-8633 | |
Not Available |
Full Name | Andrea B Hickman |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 20174 Front St Ne, Poulsbo, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356528715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Front Street Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457532913 PECOS PAC ID: 5193612935 Enrollment ID: O20040304000420 |
Mailing Address | Practice Location Address |
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Andrea B Hickman, MED, LMHC 4510 Pickerel Cir Nw, Apartment A, Silverdale, WA 98315-9765 Ph: (503) 329-8633 | Andrea B Hickman, MED, LMHC 20174 Front St Ne, C/o Front Street Clinic, Poulsbo, WA 98370-7445 Ph: (503) 329-8633 |
Ms. Cynthia Marie Brady, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 19351 8th Ave Ne Ste 141, Poulsbo, WA 98370 Phone: 360-598-3929 Fax: 360-598-4114 | |
Danielle Suzanne Rueb, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way, Poulsbo, WA 98370 Phone: 360-649-0222 | |
Kim A Bourgette, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 19550 Scoter Ln Ne, Poulsbo, WA 98370 Phone: 208-720-6593 | |
Alexandra Dafcik, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way Ste 7a, Poulsbo, WA 98370 Phone: 206-451-7383 | |
Mr. Michael Dorsey, LMHC CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18777 9th Ave Ne, Poulsbo, WA 98370 Phone: 360-697-1079 | |
Willow Kopra Tucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2781 Nw Birkenfeld Way, Poulsbo, WA 98370 Phone: 425-647-9640 | |
Darcy M Allbee, LICSW, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2302 Ne Ridgewood Dr, Poulsbo, WA 98370 Phone: 360-217-9116 |