Individual
THOMAS BERNARD DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
11140 GREENBAY ST, HOUSTON, TX 77024-6729
(713) 464-3950
Mailing address
9337B KATY FWY # 314, HOUSTON, TX 77024-1515
(713) 464-3950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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