Provider Demographics
NPI:1033744750
Name:HICKMAN, ASHLEY NICOLE (LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:HICKMAN
Suffix:
Gender:F
Credentials:LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-0735
Mailing Address - Country:US
Mailing Address - Phone:419-777-1210
Mailing Address - Fax:419-948-4141
Practice Address - Street 1:777 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-1834
Practice Address - Country:US
Practice Address - Phone:419-777-1210
Practice Address - Fax:419-948-4141
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2002556101YM0800X
OHE.2202839101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health