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Mr. Nathan Lewis Dickerson JR., LCPC
Mental Health Counselor in Chevy Chase, Maryland
NPI 1336790716

Nathan Lewis Dickerson JR. is a Mental Health Counselor based in Chevy Chase, MD and is specialized in Mental Health. Nathan Lewis Dickerson JR. practices in Chevy Chase, MD and has the professional credentials of LCPC. The NPI Number for Nathan Lewis Dickerson JR. is 1336790716 and holds a License No. LC13079 (Maryland).

The current practice location address for Nathan Lewis Dickerson JR. is 5550 Friendship Blvd Ste 590, Chevy Chase, MD and can be reached out via phone at 410-757-2077.

Location: 5550 Friendship Blvd Ste 590, Chevy Chase, MD, 20815-7310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336790716
Provider Name
Nathan Lewis Dickerson JR.
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
5550 Friendship Blvd Ste 590, Chevy Chase, MD, 20815-7310
Phone Number
410-757-2077
Fax Number
Provider Enumeration Date
09/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38-3876389 05 MD
institution
Provider Business Practice Location Address Details
Address
5550 Friendship Blvd Ste 590
City
Chevy Chase
State
Maryland
Zip
20815-7310
Phone Number
410-757-2077
Fax Number
person
Provider Business Mailing Address Details
Address
5550 Friendship Blvd Ste 590
City
Chevy Chase
State
Maryland
Zip
20815-7310
Phone Number
410-757-2077
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LC13079 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LC13079 (Maryland)
Definition
Definition to come...
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