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NPI Code Detail

MEDICARE: DORCAS LISA DICKSON

MEDICARE: DORCAS LISA DICKSON
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
1101YM0800XMental Health CounselorLGP17931MD

General Provider Information

NPI Number : 1891621926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORCAS LISA DICKSON
Provider Business Mailing Address
First Line : 473 SUNBURST CT
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20877-3409
Country : US
Telephone Number : 240-253-7115
Fax Number :
Provider Business Practice Location Address
First Line : 6339 TEN OAKS RD STE 300
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1155
Country : US
Telephone Number : 240-253-7115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ DORCAS LISA DICKSON ” Practice Location

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