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Individual

MR. BRANDON DICKENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., NCC, LPCA

Contact information

Practice address
1209 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 864-6573
(704) 864-9791
Mailing address
6710 FARTHINGTON CIR, APT. 1C, CHARLOTTE, NC 28217-2979
(336) 580-2169

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10004
NC

Other

Enumeration date
09/09/2013
Last updated
09/09/2013
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