Individual
KELLY JYUNKO DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045-3945
(310) 337-1550
Mailing address
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045-3945
(310) 337-1550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
Other
Enumeration date
10/01/2010
Last updated
04/23/2018
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