Individual
ELIZABETH DICKESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W INTERNATIONAL RD, ANCHORAGE, AK 99518-1105
(907) 599-0190
Mailing address
PO BOX 670217, CHUGIAK, AK 99567-0217
(907) 599-0190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/10/2020
Last updated
10/20/2023
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