Individual
KRISTIN D DICKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
(704) 362-2836
Mailing address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
(704) 362-2836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7649
NC
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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