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

Mr. Alex Michael Hickinbotham, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790226264

Mr. Alex Michael Hickinbotham, CDCA is an Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

680 Park Ave W
Mansfield, OH 44906-3706
Phone: (419) 528-5993
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 · Licence 141590 (OH)

Record details

NPI number1790226264
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESMarch 16, 2017

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