Heidi Kathleen Hicinbothom is a Grand Ronde, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Heidi Kathleen Hicinbothom is THW000001683 for Peer Specialist in Oregon. Her current practice location is 9605 Grand Ronde Rd, Grand Ronde. Patients can book an appointment with her at 503-879-2026.
Heidi Kathleen Hicinbothom is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Heidi Kathleen Hicinbothom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Heidi Kathleen Hicinbothom
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
9605 Grand Ronde Rd, Grand Ronde, Oregon, 97347-9712
Phone:
503-879-2026
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1023534252
NPI Enumeration Date:
18 Aug, 2017
NPI Last Update On:
02 Dec, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heidi Kathleen Hicinbothom are as mentioned below.
License Number
Specialization
State
Status
THW000001683
Peer Specialist
Oregon
Primary
T-21-874
Addiction (Substance Use Disorder) Counselor
Oregon
Secondary
Peer Specialist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Heidi Kathleen Hicinbothom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500753908
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9605 Grand Ronde Rd, Grand Ronde, Oregon
Zip:
97347-9712
Phone Number:
503-879-2002
Patients can reach Heidi Kathleen Hicinbothom at 9605 Grand Ronde Rd, Grand Ronde, Oregon or can call to book an appointment on 503-879-2026. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.