Individual
MICHELLE DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 37TH ST, BRENTWOOD, MD 20722-1302
(240) 899-2896
(240) 226-7400
Mailing address
520 PEABODY ST NW, WASHINGTON, DC 20011-2028
(240) 899-2896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8103
MD
Other
Enumeration date
10/12/2017
Last updated
09/16/2022
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