Individual
MRS. KATIE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
276 MAIN ST, LEWISTON, ME 04240-7024
(207) 782-3386
Mailing address
276 MAIN ST, LEWISTON, ME 04240-7024
(207) 782-3386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC2959
ME
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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