Dickson, Michael A

Dickson, Michael A is an individual health care provider with primary practice located at 8100 W Emerald St Ste 150 , Boise ID 83704-9057. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dickson, Michael A can be contacted via phone (208) 375-0752.

Contact Information

Primary practice address
8100 W Emerald St Ste 150 Boise ID 83704-9057
Phone: (208) 375-0752
Fax: (208) 375-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACADC - 76 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW - 28518 Idaho

Profile Details

NPI number 1114107042
LBN Legal business name Dickson, Michael A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Nov 8th, 2007 - about 18 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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