Jannavie Dawn Hickman, MA is a
Counselor - Mental Health based in Placerville, California. Jannavie Dawn Hickman is licensed to practice in * (Not Available) (license number ) and her current practice location is
6765 Green Valley Rd, Placerville, California. She can be reached at her office (for appointments etc.) via phone at
(530) 622-5551.
NPI number for Jannavie Dawn Hickman is 1174710172 and her current mailing address is 6765 Green Valley Rd, Placerville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174710172.
Healthcare Provider's Profile
| Full Name | Jannavie Dawn Hickman |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 6765 Green Valley Rd, Placerville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174710172
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 02/07/2014
Medical Identifiers
Medical identifiers for Jannavie Dawn Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174710172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jannavie Dawn Hickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jannavie Dawn Hickman, MA
6765 Green Valley Rd,
Placerville, CA 95667-8984
Ph: (530) 622-5551 | Jannavie Dawn Hickman, MA
6765 Green Valley Rd,
Placerville, CA 95667-8984
Ph: (530) 622-5551 |
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