IndividualActive
Alex Hickinbotham, CDCA
NPI 1790226264 · Addiction (Substance Use Disorder) Counselor · Mansfield, OH
Provider details
- NPI number
- 1790226264
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 141590 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
680 Park Ave W
Mansfield, OH 44906-3706
Phone: (419) 528-5993
Approximate (ZIP-level) locationGet directions
Mailing address
876 Arlington Ave
Mansfield, OH 44903-7020
Registry dates
- Enumerated
- 2017-03-16
- Last updated
- 2017-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.