Individual
JEAN ANN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1480 SAINT LOUIS ST, WEST PLAINS, MO 65775-5409
(417) 505-9093
Mailing address
1480 SAINT LOUIS ST, WEST PLAINS, MO 65775-5409
(417) 505-9093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004037105
MO
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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