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1417573189
KATINA DICKSON
NORFOLK, VA
NPI
1417573189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA d2005061525)
Enumeration Date
2020-06-18
Last Update Date
2023-11-27
Business Address
KATINA DICKSON MA MATC QMHP-A
999 WATERSIDE DR STE 2525
NORFOLK, VA 23510-3316
Phone number: 757-777-3454
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Mailing Address
KATINA DICKSON MA MATC QMHP-A
1310 COLUMBIA ST
PORTSMOUTH, VA 23704-4003
Phone number: 757-358-1359
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