Dickerson, Angela Michelle
Dickerson, Angela Michelle is an individual health care provider with primary practice located at 1171 107Th St , Grand Prairie TX 75050-2502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dickerson, Angela Michelle can be contacted via phone (817) 649-3700.Contact Information
Primary practice address
1171 107Th St
Grand Prairie TX 75050-2502
Phone: (817) 649-3700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 79597 | Texas |
Profile Details
NPI number | 1013564160 |
---|---|
LBN Legal business name | Dickerson, Angela Michelle |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2019 |
Last updated | Oct 7th, 2022 - about 3 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.
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