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General NPI Number Information
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NPI Number | 1689475170
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Entity Type | Individual
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Provider Name | MICHELLE DICKMAN MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 405 PUBLIC SQ STE 330
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City | TROY
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State | OH
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Zip | 45373-5200
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Country | US
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Telephone | 937-726-7558
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Fax |
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Provider Business Mailing Address
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Address Line | 2165 WESTMINSTER DR
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City | SIDNEY
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State | OH
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Zip | 45365-1955
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Country | US
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Telephone | 937-726-7558
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.0500506
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License Number State | OH
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