institution
Candice Richardson Dickens
Mental Health Counselor in Catonsville, Maryland
NPI 1861617052

Candice Richardson Dickens is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Candice Richardson Dickens practices in Catonsville, MD. The NPI Number for Candice Richardson Dickens is 1861617052 and holds a License No. LCA214 (Maryland).

The current practice location address for Candice Richardson Dickens is 5602 Baltimore National Pike, Catonsville, MD and can be reached out via phone at 410-744-4204 and via fax at 410-744-4203.

Location: 5602 Baltimore National Pike, Catonsville, MD, 21244-1290
institution
Provider Profile Details
NPI Number
1861617052
Provider Name
Candice Richardson Dickens
Credential
Provider Entity Type
Organization
Address
5602 Baltimore National Pike, Catonsville, MD, 21244-1290
Phone Number
410-744-4204
Fax Number
410-744-4203
Provider Enumeration Date
04/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6895026 00 05 MD
institution
Provider Business Practice Location Address Details
Address
5602 Baltimore National Pike
City
State
Zip
21228-1411
Phone Number
410-744-4204
Fax Number
410-744-4203
person
Provider Business Mailing Address Details
Address
5602 Baltimore National Pike
City
State
Zip
21228-1411
Phone Number
410-744-4204
Fax Number
410-744-4203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
PRC13709 (District of Columbia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCA214 (Maryland)
Definition
Definition to come...
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