# AUGUSTUS C. DICKENS

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

## Provider details

- **NPI number:** 1851772032
- **Authorized official:** MR. AUGUSTUS CHADWYCK DICKENS I LCPC (LICENSE CLINICAL PROFESSIONAL COUN)
- **Authorized official phone:** (301) 257-1430

## Contact information

- **Practice address:** 9811 MALLARD DR, LAUREL, MD 20708-3143
- **Practice address phone:** (301) 257-1430
- **Mailing address:** 1417 WINTER PINE TRL, SEVERN, MD 21144-1506
- **Mailing address phone:** (301) 257-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC6378 | MD | Yes |

## Other

- **Enumeration date:** 06/14/2015
- **Last updated:** 06/14/2015