Individual
MS. LYDIA DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
504 MICAR DRIVE, OLNEY, IL 62450-4720
(618) 395-4306
(618) 395-4507
Mailing address
602 E 5TH ST, MOUNT CARMEL, IL 62863-2152
(618) 262-7473
(618) 262-8810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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