Individual
SCOTT MICHAEL DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
506 W FRANKLIN ST, SHELTON, WA 98584-3517
(360) 427-5232
(360) 427-5006
Mailing address
PO BOX 59, CHEHALIS, WA 98532-0059
(360) 463-0927
(360) 740-1877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125353
—
WA
Enumeration date
03/29/2019
Last updated
10/24/2025
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