Individual
MRS. LEA R DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
2011 CROOKS RD, ROYAL OAK, MI 48073-4049
(586) 718-2670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451019839
MI
Other
Enumeration date
09/22/2021
Last updated
02/06/2025
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