Dickson Alicea
Counselor, Pastoral in Mcdonough, GA. Individual provider (NPI-1).
NPI number1336917533
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1336917533
- Entity type
- Individual (NPI-1)
- Name
- Dickson Alicea
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2023
- Certification date
- Dec 17, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
245 Den Ric DrMcdonough, GA 30253-5489
Phone 770-349-5735
Mailing address
245 Den Ric DrMcdonough, GA 30253-5489
Phone 770-349-5735
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