Hickerson, Susan Correll

Hickerson, Susan Correll is an sole proprietor health care provider with primary practice located at 58 David Biddle Trl , Weaverville NC 28787-9736. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hickerson, Susan Correll can be contacted via phone (828) 658-0561.

Contact Information

Primary practice address
58 David Biddle Trl Weaverville NC 28787-9736
Phone: (828) 658-0561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4269 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4269 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20689 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4269 North Carolina

Profile Details

NPI number 1316106768
LBN Legal business name Hickerson, Susan Correll
Credentials LPC, LPCS, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Apr 16th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316106768 NPPES
North Carolina MEDICAID 12345678

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