Individual provider · Type 1 NPI
Samantha Renee Dickow, LPCC
Mental Health Counselor · Fort Leonard Wood, MO
NPI number
1083104152
Active
Practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C.1801517 (OH) |
| Marriage & Family Therapist | 106H00000X | M.1700073-TRNE (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1083104152
Samantha Renee Dickow, LPCC's National Provider Identifier is 1083104152, issued on May 15, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jul 3, 2023.