person
Leon Lansing Dickinson
Mental Health Counselor in Watertown, New York
NPI 1568931293

Leon Lansing Dickinson is a Mental Health Counselor based in Watertown, NY and is specialized in Mental Health. Leon Lansing Dickinson practices in Watertown, NY. The NPI Number for Leon Lansing Dickinson is 1568931293 and holds a License No. 18-000860 (New York).

The current practice location address for Leon Lansing Dickinson is 482 Black River Pkwy, Watertown, NY and can be reached out via phone at 315-782-1777 and via fax at 315-785-8628.

Location: 482 Black River Pkwy, Watertown, NY, 13601-3522
person
Provider Profile Details
NPI Number
1568931293
Provider Name
Leon Lansing Dickinson
Credential
Provider Entity Type
Individual
Gender
Male
Address
482 Black River Pkwy, Watertown, NY, 13601-3522
Phone Number
315-782-1777
Fax Number
315-785-8628
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18-000860 01 NY NEW YORK STATE DEPARTMENT OF EDUCATION
institution
Provider Business Practice Location Address Details
Address
482 Black River Pkwy
City
State
Zip
13601-2416
Phone Number
315-782-1777
Fax Number
315-785-8628
person
Provider Business Mailing Address Details
Address
482 Black River Pkwy
City
State
Zip
13601-2416
Phone Number
315-782-1777
Fax Number
315-785-8628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
18-000860 (New York)
Definition
Definition to come...
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