Individual
KASON DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,SCL, LLPC
Contact information
Practice address
145 ROCHDALE DR S, ROCHESTER HILLS, MI 48309-2275
(248) 608-4514
Mailing address
23851 JEROME ST, OAK PARK, MI 48237-2103
(248) 982-9705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016789
MI
Other
Enumeration date
02/09/2021
Last updated
06/23/2022
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