KATRINA HICKEY

Counselor

Active Individual
NPI: 1043789258

Practice Address

160 S MAIN ST
Lakeport, CA 95453

Phone: (707) 275-0506

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1043789258 is the National Provider Identifier for KATRINA HICKEY, a Counselor provider located in Lakeport, CA. This NPI was enumerated on November 16, 2018.
KATRINA HICKEY practices at 160 S MAIN ST, Lakeport, CA 95453.

Quick Facts

NPI
1043789258
Type
Individual
Enumerated
Nov 16, 2018
Last Updated
Jun 6, 2019

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