Individual provider · Type 1 NPI

Keith Robert Dickson, RADT

Addiction (Substance Use Disorder) Counselor · Sun Valley, CA

NPI number 1245967611 Active

Practice location

8140 Sunland Blvd
Sun Valley, CA 91352-3948

Fax (818) 582-8836

Mailing address

1844 N Altadena Dr
Pasadena, CA 91107-1047

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1445300921 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245967611

Keith Robert Dickson, RADT's National Provider Identifier is 1245967611, issued on Aug 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sun Valley, CA. The record was last updated on Aug 4, 2022.