Individual
MR. AL DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOC
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5937
Mailing address
1709 S G ST APT 106, TACOMA, WA 98405-5104
(253) 733-8748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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