Individual
MR. WILLIAM B DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSQRPCRCLPC
Contact information
Practice address
1445 PARK SIDE EST, FAIRMONT, WV 26554-6109
(304) 366-7698
Mailing address
1445 PARK SIDE EST, FAIRMONT, WV 26554-6109
(304) 366-7698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1021-1817
WV
Other
Enumeration date
05/04/2010
Last updated
06/12/2010
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