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Individual

JACOB DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, RPT

Contact information

Practice address
100 RIDGEWAY ST STE 1, HOT SPRINGS, AR 71901-7155
(501) 627-2503
(501) 222-1282
Mailing address
7232 HIGHWAY 7, BISMARCK, AR 71929-7105
(501) 627-2503
(501) 222-1282

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1704202
AR

Other

Enumeration date
08/26/2015
Last updated
06/02/2023
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