Individual
MR. GARRETT DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Mailing address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
263044
CA
Other
Enumeration date
03/09/2011
Last updated
01/24/2012
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