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Thad Shane Dickson, CPHIMS,PMP
Mental Health Counselor in Lakebay, Washington
NPI 1386930733

Thad Shane Dickson is a Mental Health Counselor based in Lakebay, WA and is specialized in Mental Health. Thad Shane Dickson practices in Lakebay, WA and has the professional credentials of CPHIMS,PMP. The NPI Number for Thad Shane Dickson is 1386930733 and holds a License No. CPHIMS - 1592 (Washington).

The current practice location address for Thad Shane Dickson is 16511 34Th Street Kp N, Lakebay, WA and can be reached out via phone at 253-651-7482.

Location: 16511 34Th Street Kp N, Lakebay, WA, 98349-9774
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Provider Profile Details
NPI Number
1386930733
Provider Name
Thad Shane Dickson
Credential
CPHIMS,PMP
Provider Entity Type
Individual
Gender
Male
Address
16511 34Th Street Kp N, Lakebay, WA, 98349-9774
Phone Number
253-651-7482
Fax Number
Provider Enumeration Date
06/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DICKSTS PMP 01 WA PMP
451268 01 WA HCISSP
1592 01 WA CPHIMS
institution
Provider Business Practice Location Address Details
Address
16511 34Th Street Kp N
City
State
Zip
98349-9774
Phone Number
253-651-7482
Fax Number
person
Provider Business Mailing Address Details
Address
16511 34Th Street Kp N
City
State
Zip
98349-9774
Phone Number
253-651-7482
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
CPHIMS - 1592 (Washington)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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