Dr. Cody William Dickson, PhD, LPC, NCC
Counselor, Professional in Lubbock, TX. Individual provider (NPI-1).
NPI number1124436035
StatusActive
Last updated in NPPESSep 13, 2019
Details
- NPI
- 1124436035
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cody William Dickson
- Credential
- PhD, LPC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2014
- Last updated
- Sep 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 69897 | TX | Yes |
| 101YM0800X | Counselor, Mental Health | 5222 | NE |
Practice location
3805 22nd St Ste 1cLubbock, TX 79410-1142
Phone 806-252-6633
Mailing address
4510 Ironton Ave Apt 3201Lubbock, TX 79407-3783
Phone 806-252-6633
Other practice locations
6554 92nd St
Lubbock, TX 79424-6773
Lubbock, TX 79424-6773
Phone 806-252-6633
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