Hickson, Lauren M

Hickson, Lauren M is an individual health care provider with primary practice located at 121 Wakelee Ave , Ansonia CT 06401-1198. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hickson, Lauren M can be contacted via phone (203) 503-3650.

Contact Information

Primary practice address
121 Wakelee Ave Ansonia CT 06401-1198
Phone: (203) 503-3650
Fax: (203) 503-3659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002212 Connecticut

Profile Details

NPI number 1225343460
LBN Legal business name Hickson, Lauren M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2010
Last updated Aug 12th, 2015 - about 11 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 1225343460 NPPES
Connecticut MEDICAID 004235918

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