MEDICARE: CHRISTIN N. DICKINSON M.S, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	94576	TX

General Provider Information

NPI Number	:	1205780301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIN N. DICKINSON M.S, LPC

Provider Business Mailing Address
First Line	:	1210 BOTHAM JEAN BLVD APT 1325
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-1047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 BOTHAM JEAN BLVD APT 1325
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-1047
Country	:	US
Telephone Number	:	817-797-6515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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