Individual
MRS. JUDITH COATES DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA MS LPC LCAS CCS
Contact information
Practice address
111 WINDEL DR STE 205, RALEIGH, NC 27609-4477
(919) 610-5172
(919) 896-7957
Mailing address
5405 FIELDSTONE DR, RALEIGH, NC 27609-4713
(919) 610-5172
(919) 896-7957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
392
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
1137
NC
101YP2500X
Professional Counselor
Primary
6867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111980
—
NC
Enumeration date
09/13/2007
Last updated
05/03/2013
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