Individual
ALEXIS DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
Mailing address
14924 MANDERSON PLZ APT 302, OMAHA, NE 68116-6289
(402) 612-5539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12424
NE
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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