Individual
MRS. NANCY M DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
Mailing address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1965
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1965
MISSISSIPPI LPC
MS
Enumeration date
01/26/2015
Last updated
01/26/2015
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