Individual
MRS. SUELLEN M. DICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCPC/ LPC
Contact information
Practice address
831 W. DELANO AVENUE, PRESCOTT, AZ 86301
(217) 841-8634
Mailing address
831 W DELANO AVENUE, PRESCOTT, AZ 86301
(217) 841-8634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-004522
IL
101YP2500X
Professional Counselor
Primary
LCPC-180-004522
IL
101YP2500X
Professional Counselor
LPC-14534
AZ
Other
Enumeration date
05/03/2007
Last updated
02/25/2014
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