Heidi Kathleen Hicinbothom
Heidi Kathleen Hicinbothom is an Addiction (Substance Use Disorder) Counselor in Grand Ronde, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
9605 Grand Ronde RdGrand Ronde, OR 97347-9712
Phone: (503) 879-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000001683 (OR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence T-21-874 (OR) |
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1023534252 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2017 |
| Last updated in NPPES | December 2, 2021 |
| Certification date | December 2, 2021 |
Other providers in Grand Ronde
-
Dorothy R De la Rosa, CDACII
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2060
-
Nicole Marie Estrada, LMFT, LPC
9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2026
-
Amber Foster, CRM
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2060
-
Traci Diane Hamilton
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2026
-
Howard Mekemson, CADCI
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2236
-
MS. Karan Elaine Scharf, CDCIII
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 · (503) 879-2236