Individual
MR. SLADE C DICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
200 W CALHOUN AVE, TEMPLE, TX 76501-3127
(254) 774-8806
(254) 774-8806
Mailing address
PO BOX 416, TEMPLE, TX 76503-0416
(254) 774-8806
(254) 774-9672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83635L
BCBS OF TEXAS
TX
Enumeration date
07/08/2005
Last updated
07/08/2007
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