Individual
BRIDGET BAKER DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1295 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4635
(225) 281-8115
(225) 243-6029
Mailing address
1295 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4635
(225) 281-8115
(225) 243-6029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
681
LA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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