Dickinson, Mardell

Dickinson, Mardell is an sole proprietor health care provider with primary practice located at 1716 University Ave S , Fairbanks AK 99709-4904. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dickinson, Mardell can be contacted via phone (907) 460-2166.

Contact Information

Primary practice address
1716 University Ave S Fairbanks AK 99709-4904
Phone: (907) 460-2166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 376 Alaska

Profile Details

NPI number 1689757429
LBN Legal business name Dickinson, Mardell
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Feb 16th, 2009 - about 15 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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