Individual
MICHELLE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10513 JUDICIAL DR STE 301, FAIRFAX, VA 22030-7528
(703) 966-5173
Mailing address
10895 POYNTELL CIR, SAN DIEGO, CA 92131-3312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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