Individual
KENDRA MARIE DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 425-0300
(303) 432-5071
Mailing address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
CSW.09926177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MOCACA5200006
CERTIFIED APPLICATION COUNSELOR
MO
Enumeration date
07/21/2014
Last updated
01/18/2025
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