| Carl Dickerson, Edd, Lpc Counseling And Consulting | |
|
1410 Vinery Ave Cumming GA 30041-9716 | |
| (678) 431-2070 | |
| (470) 281-5711 |
| Full Name | Carl Dickerson, Edd, Lpc Counseling And Consulting |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1410 Vinery Ave, Cumming, Georgia |
| Authorized Official Name and Position | Carl T. Dickerson (OWNER) |
| Authorized Official Contact | 6784312070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Dickerson, Edd, Lpc Counseling And Consulting 1595 Peachtree Pkwy Suite 204, #227 Cumming GA 30041 Ph: (678) 431-2070 | Carl Dickerson, Edd, Lpc Counseling And Consulting 1410 Vinery Ave Cumming GA 30041-9716 Ph: (678) 431-2070 |
| NPI Number | 1013489178 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 05/03/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013489178 | NPI | - | NPPES |
| 1215157045 | Other | MS | NPI FOR THE PROVIDER |
| 1215157045 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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