# DICKERSON COUNSELING, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205035433
- **Authorized official:** MRS. LAURA DICKERSON LAC (MEMBER)
- **Authorized official phone:** (406) 752-0530

## Contact information

- **Practice address:** 17 2ND ST E, SUITE \#204, KALISPELL, MT 59901-6107
- **Practice address phone:** (406) 752-0530
- **Mailing address:** 17 2ND ST E, SUITE \#204, KALISPELL, MT 59901-6107
- **Mailing address phone:** (406) 752-0530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1192 LAC | MT | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 01/27/2016