Individual
MRS. MINA ANN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LMFT
Contact information
Practice address
1525 12TH ST, SUITE 4A, FLORENCE, OR 97439
(541) 999-6809
(805) 435-7434
Mailing address
1525 12TH ST, SUITE 4A, FLORENCE, OR 97439
(541) 999-6809
(805) 435-7434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1938
OR
Other
Enumeration date
04/11/2007
Last updated
06/05/2023
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