Jannavie Dawn Hickman, MA - in Placerville, CA

Jannavie Dawn Hickman, MA is a Counselor - Mental Health based in Placerville, California. Jannavie Dawn Hickman is licensed to practice in * (Not Available) (license number ) and her current practice location is 6765 Green Valley Rd, Placerville, California. She can be reached at her office (for appointments etc.) via phone at (530) 622-5551.

NPI number for Jannavie Dawn Hickman is 1174710172 and her current mailing address is 6765 Green Valley Rd, Placerville, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174710172.

Contact Information

Jannavie Dawn Hickman, MA
6765 Green Valley Rd,
Placerville, CA 95667-8984
(530) 622-5551
(530) 622-5800



Healthcare Provider's Profile

Full NameJannavie Dawn Hickman
GenderFemale
SpecialityCounselor - Mental Health
Location6765 Green Valley Rd, Placerville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174710172
  • Provider Enumeration Date: 10/03/2007
  • Last Update Date: 02/07/2014

Medical Identifiers

Medical identifiers for Jannavie Dawn Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174710172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0200XPsychologist - Forensic (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jannavie Dawn Hickman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jannavie Dawn Hickman, MA
6765 Green Valley Rd,
Placerville, CA 95667-8984

Ph: (530) 622-5551
Jannavie Dawn Hickman, MA
6765 Green Valley Rd,
Placerville, CA 95667-8984

Ph: (530) 622-5551

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