Individual
DAWN W. DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1809 MOON ST NE, SUITE 3, ALBUQUERQUE, NM 87112-2850
(505) 450-6175
(505) 292-6336
Mailing address
PO BOX 50369, ALBUQUERQUE, NM 87181-0369
(505) 450-6175
(505) 292-6336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0065612
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13632345
—
NM
Enumeration date
11/20/2006
Last updated
07/08/2007
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