Individual
DARON MARK DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
116 N 2ND ST, CLARKSVILLE, TN 37040-3478
(931) 614-0454
Mailing address
166 WHITEHALL DR, CLARKSVILLE, TN 37042-5258
(931) 614-0454
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1139
TN
106H00000X
Marriage & Family Therapist
201681
TX
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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