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Individual

DR. CARL THOMAS DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1595 PEACHTREE PKWY, STE 204, # 227, CUMMING, GA 30041-2040
(678) 431-2070
(470) 281-5711
Mailing address
1595 PEACHTREE PKWY, STE 204, # 227, CUMMING, GA 30041-2040
(678) 431-2070
(470) 281-5383

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0323
MS
101YP2500X
Professional Counselor
Primary
LPC010077
GA

Other

Enumeration date
04/26/2007
Last updated
04/24/2024
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