Individual provider · Type 1 NPI

Stacy Dickenson

Addiction (Substance Use Disorder) Counselor · North Vernon, IN

NPI number 1972179620 Active

Practice location

203 N State St
North Vernon, IN 47265-2454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972179620

Stacy Dickenson's National Provider Identifier is 1972179620, issued on Jun 2, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Vernon, IN. The record was last updated on Jun 2, 2021.