Individual
ANNA JACQUELYN DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 W WHISPERING WIND DR, PHOENIX, AZ 85085-2867
(480) 653-8434
Mailing address
1539 W MULBERRY DR, PHOENIX, AZ 85015-5844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-17022
AZ
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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