person
Scott Michael Dickinson, SUDP
Addiction (Substance Use Disorder) Counselor in Shelton, Washington
NPI 1679034748

Scott Michael Dickinson is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Scott Michael Dickinson practices in Shelton, WA and has the professional credentials of SUDP. The NPI Number for Scott Michael Dickinson is 1679034748 and holds a License No. CP00004514 (Washington).

The current practice location address for Scott Michael Dickinson is 506 W Franklin St, Shelton, WA and can be reached out via phone at 360-427-5232 and via fax at 360-427-5006.

Location: 506 W Franklin St, Shelton, WA, 98532-0059
person
Provider Profile Details
NPI Number
1679034748
Provider Name
Scott Michael Dickinson
Credential
SUDP
Provider Entity Type
Individual
Gender
Male
Address
506 W Franklin St, Shelton, WA, 98532-0059
Phone Number
360-427-5232
Fax Number
360-427-5006
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2125353 05 WA
institution
Provider Business Practice Location Address Details
Address
506 W Franklin St
City
State
Zip
98584-3517
Phone Number
360-427-5232
Fax Number
360-427-5006
person
Provider Business Mailing Address Details
Address
506 W Franklin St
City
State
Zip
98584-3517
Phone Number
360-427-5232
Fax Number
360-427-5006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00004514 (Washington)
Definition
Definition to come...
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