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Jonathan Hickman, LCSW
NPI 1639315534 · on the registry since 2008
Practice
- Address
- 2924 Walnut Grove Rd
Ste. 2
Memphis, TN 38111 - Phone
- (901) 870-4891
- Fax
- (901) 458-9522
- Organisation at this address
- Life Renew Counseling
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-23
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 Tennessee