Organization
CARL DICKERSON, EDD, LPC COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL T. DICKERSON EDD, LPC (OWNER)
(678) 431-2070
Entity
Organization
Contact information
Practice address
1410 VINERY AVE, CUMMING, GA 30041-9716
(678) 431-2070
(470) 281-5711
Mailing address
1595 PEACHTREE PKWY, SUITE 204, #227, CUMMING, GA 30041
(678) 431-2070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215157045
NPI FOR THE PROVIDER
MS
01
—
1215157045
NPI
—
Enumeration date
12/28/2018
Last updated
05/03/2024
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