Individual
ROBERT PETER DICKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LLP
Contact information
Practice address
5705 LAKE RIDGE DR, BRIGHTON, MI 48116-7760
(810) 986-6301
Mailing address
5705 LAKE RIDGE DR, BRIGHTON, MI 48116-7760
(810) 986-6301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401005067
MI
103T00000X
Psychologist
Primary
6301000686
MI
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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