Hickman, Jannavie Dawn
Hickman, Jannavie Dawn is an sole proprietor health care provider with primary practice located at 6765 Green Valley Rd , Placerville CA 95667-8984. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hickman, Jannavie Dawn can be contacted via phone (530) 622-5551.Contact Information
Primary practice address
6765 Green Valley Rd
Placerville CA 95667-8984
Phone: (530) 622-5551
Fax: (530) 622-5800
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1174710172 |
---|---|
LBN Legal business name | Hickman, Jannavie Dawn |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2007 |
Last updated | Feb 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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