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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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