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Search › California › Student in an Organized Health Care Education/Training Program

Jon Hickman, SUDRC

NPI 1598445231 · on the registry since 2023 · sole proprietor

Practice

Address
410 W J St
Tehachapi, CA 93561
Phone
(661) 750-0438
Clinicians at this address
11

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California