Individual provider · Type 1 NPI

Michael A. Dickson

Mental Health Counselor · Boise, ID

NPI number 1114107042 Active

Practice location

8100 W Emerald St Ste 150
Boise, ID 83704-9057

Fax (208) 375-0796

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACADC - 76 (ID)
Mental Health Counselor Primary 101YM0800XLCSW - 28518 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1114107042

Michael A. Dickson's National Provider Identifier is 1114107042, issued on Nov 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Nov 8, 2007.