Individual
CORAL DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4708 GOOD CT, CARMICHAEL, CA 95608-3104
(916) 505-3660
Mailing address
4708 GOOD CT, CARMICHAEL, CA 95608-3104
(916) 505-3660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14767
CA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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