Individual provider · Type 1 NPI

Katina Dickson, MA MATC QMHP-A

Addiction (Substance Use Disorder) Counselor · Norfolk, VA

NPI number 1417573189 Active

Practice location

999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316

Mailing address

1310 Columbia St
Portsmouth, VA 23704-4003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XD2005061525 (VA)

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

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About NPI 1417573189

Katina Dickson, MA MATC QMHP-A's National Provider Identifier is 1417573189, issued on Jun 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norfolk, VA. The record was last updated on Nov 27, 2023.