Individual
MRS. AMANDA NICOLE DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
100 S MARSHALL ST, SUITE 1, WINSTON SALEM, NC 27101-2843
(252) 904-3760
Mailing address
5643 SANDHILL DR, WINSTON SALEM, NC 27105-9707
(252) 904-3760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8444
NC
Other
Enumeration date
09/24/2012
Last updated
10/29/2013
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