Individual
ANGELA MICHELLE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1171 107TH ST, GRAND PRAIRIE, TX 75050-2502
(817) 649-3700
Mailing address
1100 RIVER BEND DR APT 31, LANCASTER, TX 75146-3705
(214) 991-1798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79597
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2019
Last updated
10/07/2022
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