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1679940597
JACOB DICKERSON
HOT SPRINGS, AR
NPI
1679940597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A1704202)
Enumeration Date
2015-08-26
Last Update Date
2023-06-02
Business Address
JACOB DICKERSON LPC, RPT
100 RIDGEWAY ST STE 1
HOT SPRINGS, AR 71901-7155
Phone number: 501-627-2503
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Mailing Address
JACOB DICKERSON LPC, RPT
7232 HIGHWAY 7
BISMARCK, AR 71929-7105
Phone number: 501-627-2503
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