Individual
MR. LANCE F. DICKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC NCC
Contact information
Practice address
463 SW 579 LOOP, BLDG. 'B', CHOUTEAU, OK 74337
(918) 476-0501
(918) 207-3064
Mailing address
463 SW 579 LOOP, BLDG. 'B', CHOUTEAU, OK 74337
(918) 476-0501
(918) 207-3064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#3005
OK
101YP2500X
Professional Counselor
3005
OK
Other
Enumeration date
06/16/2007
Last updated
12/08/2010
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