Individual
ANDREA D DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC, LMFT
Contact information
Practice address
804 KELLOGG AVE, AMES, IA 50010-6234
(515) 233-4930
Mailing address
50 N EISENHOWER AVE, MASON CITY, IA 50401-7340
(515) 233-4930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00112
IA
106H00000X
Marriage & Family Therapist
Primary
415
IA
Other
Enumeration date
01/10/2007
Last updated
12/19/2019
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