Individual
DANNY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
919 12TH PL STE 13, PRESCOTT, AZ 86305-1433
(844) 762-3748
Mailing address
544 PARK AVE APT 9, PRESCOTT, AZ 86303-4058
(815) 275-8816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23460
AZ
Other
Enumeration date
06/02/2025
Last updated
06/03/2025
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