DENNIS MICHAEL DICKENS

SAN DIEGO, CA
NPI1841839545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1328711118)
Enumeration Date2019-12-27
Last Update Date2019-12-27
Business Address
DENNIS MICHAEL DICKENS RADT I
835 25TH ST
SAN DIEGO, CA 92102-2738
Phone number: 619-239-9691
Mailing Address
DENNIS MICHAEL DICKENS RADT I
8851 SANDMARK AVE
SAN DIEGO, CA 92123-3915
Phone number: 619-794-7177
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