Individual
DR. ROBERT H DICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
201 COUNTY ROAD 989, IUKA, MS 38852-6611
(662) 423-7422
Mailing address
201 COUNTY ROAD 989, IUKA, MS 38852-6611
(662) 423-7422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
398
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
398
LICENSE NUMBER
MS
Enumeration date
04/23/2007
Last updated
07/08/2007
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