Individual
KIM ELIZABETH DYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5600 GULF CREEK CIR, THEODORE, AL 36582-2586
(251) 209-1505
(251) 433-5901
Mailing address
5600 GULF CREEK CIR, THEODORE, AL 36582-2586
(251) 209-1505
(251) 433-5901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1811062953
AL
Other
Enumeration date
11/22/2006
Last updated
02/20/2024
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