Provider Demographics
NPI:1487727574
Name:HICKEL, PAULA (MS)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:HICKEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:ISAKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9222 45TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CRARY
Mailing Address - State:ND
Mailing Address - Zip Code:58327-9301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:224 4TH ST NW
Practice Address - Street 2:SUITE 5
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2960
Practice Address - Country:US
Practice Address - Phone:701-662-6776
Practice Address - Fax:701-662-6889
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor