Individual
GINA DICKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2311 BILL CT, NAPERVILLE, IL 60565-5240
(630) 421-0916
Mailing address
2311 BILL CT, NAPERVILLE, IL 60565-5240
(630) 421-0916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-003169
IL
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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