Organization
DICKERSON COUNSELING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA DICKERSON LAC (MEMBER)
(406) 752-0530
Entity
Organization
Contact information
Practice address
17 2ND ST E, SUITE #204, KALISPELL, MT 59901-6107
(406) 752-0530
Mailing address
17 2ND ST E, SUITE #204, KALISPELL, MT 59901-6107
(406) 752-0530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1192 LAC
MT
Other
Enumeration date
07/17/2007
Last updated
01/27/2016
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