Individual
BENJAIN PATRICK DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308-5978
(602) 697-5485
Mailing address
211 E MAIL TRAIL RD, YOUNG, AZ 85554-0689
(602) 697-5485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22436
AZ
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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