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Individual
KATHERINE RUTH DICKERSON
Active
Individual
KATHERINE RUTH DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCS, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS-10965
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-1406
NC
101YM0800X
Mental Health Counselor
CCS-10965
NC
101YM0800X
Mental Health Counselor
Primary
S9956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3112086
—
NC
Enumeration date
08/11/2009
Last updated
12/15/2023
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