| Shasta Hickman Counseling And Coaching Pllc | |
|
12306 Se Mill Plain Blvd Ste 250 Vancouver WA 98684-6072 | |
| (971) 303-9868 | |
| Not Available |
| Full Name | Shasta Hickman Counseling And Coaching Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12306 Se Mill Plain Blvd Ste 250, Vancouver, Washington |
| Authorized Official Name and Position | Shasta Hickman (WONDER) |
| Authorized Official Contact | 9713039868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Hickman Counseling And Coaching Pllc 12306 Se Mill Plain Blvd Ste 250 Vancouver WA 98684-6072 Ph: (971) 303-9868 | Shasta Hickman Counseling And Coaching Pllc 12306 Se Mill Plain Blvd Ste 250 Vancouver WA 98684-6072 Ph: (971) 303-9868 |
| NPI Number | 1427801059 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427801059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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