Individual
MICHAEL A DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8120
Mailing address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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