Individual
MR. NATHAN DICKERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
8258 VETERANS HWY STE 13, MILLERSVILLE, MD 21108-1564
(410) 768-6088
(410) 768-6444
Mailing address
PO BOX 675366, DETROIT, MI 48267-5366
(410) 757-2077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC13079
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
09/26/2019
Last updated
06/16/2025
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