Provider Demographics
NPI:1184854143
Name:HICKMAN, REBECCA M (MA, LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:HICKMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 N WASHINGTON ST APT 7
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2680
Mailing Address - Country:US
Mailing Address - Phone:302-528-3313
Mailing Address - Fax:
Practice Address - Street 1:1325 S COLORADO BLVD STE B-108
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3303
Practice Address - Country:US
Practice Address - Phone:302-528-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005189101YP2500X
COLPC.0006436101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional