Individual
DOUG DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCFBPPC
Contact information
Practice address
609 S NEW HOPE RD STE 200C, GASTONIA, NC 28054-4870
(704) 208-1865
Mailing address
609 S NEW HOPE RD STE 200C, GASTONIA, NC 28054-4870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
101YP1600X
Pastoral Counselor
—
NC
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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