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Organization

CANDICE RICHARDSON DICKENS

Active
Other names
Cra Counseling & Consulting Agency
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDICE RICHARDSON DICKENS LCPC, LCADC, NCC (CLINICAL DIRECTOR)
(410) 744-4204
Entity
Organization

Contact information

Practice address
5602 BALTIMORE NATIONAL PIKE, 307, CATONSVILLE, MD 21228-1411
(410) 744-4204
(410) 744-4203
Mailing address
7859 PADDOCK WAY, BALTIMORE, MD 21244-1290
(410) 744-4204
(410) 744-4203

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA214
MD
101YM0800X
Mental Health Counselor
Primary
LC0686
MD
101YM0800X
Mental Health Counselor
PRC13709
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6895026 00
MD
Enumeration date
04/15/2007
Last updated
06/20/2008
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