Dickens, Judith Coates
Dickens, Judith Coates is an sole proprietor health care provider with primary practice located at 111 Windel Dr Ste 205 , Raleigh NC 27609-4477. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dickens, Judith Coates can be contacted via phone (919) 610-5172.Contact Information
Primary practice address
111 Windel Dr Ste 205
Raleigh NC 27609-4477
Phone: (919) 610-5172
Fax: (919) 896-7957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6867 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1137 | North Carolina |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 392 | North Carolina |
Profile Details
| NPI number | 1811182793 |
|---|---|
| LBN Legal business name | Dickens, Judith Coates |
| Credentials | MPA MS LPC LCAS CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | May 3rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811182793 | NPPES |
| North Carolina | MEDICAID | 6111980 |
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