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Organization
CANDICE RICHARDSON DICKENS
Active
Organization
CANDICE RICHARDSON DICKENS
Active
Other names
Cra Counseling & Consulting Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE RICHARDSON DICKENS LCPC, LCADC, NCC (CLINICAL DIRECTOR)
(410) 744-4204
Entity
Organization
Contact information
Practice address
5602 BALTIMORE NATIONAL PIKE, 307, CATONSVILLE, MD 21228-1411
(410) 744-4204
(410) 744-4203
Mailing address
7859 PADDOCK WAY, BALTIMORE, MD 21244-1290
(410) 744-4204
(410) 744-4203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA214
MD
101YM0800X
Mental Health Counselor
Primary
LC0686
MD
101YM0800X
Mental Health Counselor
PRC13709
DC
Other
Enumeration date
04/15/2007
Last updated
06/20/2008
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