Individual ProviderDawn HickmanCounselorBehavioral Health & Social Service ProvidersPractice Address601 Wall St, Valparaiso, IN 46383-2512(219) 531-3500PECOS EnrollmentBased on the most recent information from CMS, provider Dawn Hickman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1548754245Provider TypeIndividualFull NameHickman, DawnGenderFemaleSole ProprietorYesEnumeration Date6/18/2018Last Updated6/18/2018Contact InformationPractice LocationPractice Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500FaxUnlisted FaxMailing LocationMailing Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer