Heidi Kathleen Hicinbothom
Addiction (Substance Use Disorder) Counselor
- Gender: Female
- Sole propriator: Yes
About Heidi Kathleen Hicinbothom
She is located at 9605 Grand Ronde Rd, , in Grand Ronde, OR 97347. Appointment can be made via the phone number (503) 879-2026.
Heidi Kathleen Hicinbothom - Address, Phone & Website
9605 Grand Ronde Rd, , Grand Ronde, OR 97347
(503) 879-2026
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Peer Specialist | 175T00000X |
| No | Addiction (Substance Use Disorder) Counselor | 101YA0400X |
| No | Peer Specialist | 175T00000X |
Licenses
| State | License Number |
|---|---|
| Oregon | THW000001683 |
| Oregon | T-21-874 |
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