Individual
ANDREW CHRISTOPHER DICKMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BLC, BA
Contact information
Practice address
801 E MAIN ST, TISHOMINGO, OK 73460-2351
(307) 438-2251
Mailing address
PO BOX 142, RAVIA, OK 73455-0142
(307) 438-2251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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