Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jon Wesley Hickman, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598445231

Jon Wesley Hickman, SUDRC is an Addiction (Substance Use Disorder) Counselor in Tehachapi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

410 W J St
Tehachapi, CA 93561-1411
Phone: (661) 750-0438
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15484 (CA)

Record details

NPI number1598445231
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address410 W J St, Tehachapi, CA 93561-1411

Other providers in Tehachapi