| NPI | 1114107042 |
|---|---|
| Professional Name | MICHAEL A DICKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW - 28518) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID ACADC - 76) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |