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

Khadijah Hickman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174399703

Khadijah Hickman is an Addiction (Substance Use Disorder) Counselor in Fairbanks, Alaska. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

215 Cushman St
Fairbanks, AK 99701-4639
Phone: (907) 374-1097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1174399703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 25, 2023
Mailing addressPo Box 73004, Fairbanks, AK 99707-3004

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