Dickens, Lisa
Dickens, Lisa is an sole proprietor health care provider with primary practice located at 33 Leisure Acres , Sullivan IL 61951-9404. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dickens, Lisa can be contacted via phone (217) 294-0802.Contact Information
Primary practice address
33 Leisure Acres
Sullivan IL 61951-9404
Phone: (217) 294-0802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 38539 | Illinois |
Profile Details
| NPI number | 1528806288 |
|---|---|
| LBN Legal business name | Dickens, Lisa |
| Credentials | MS. CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2024 |
| Last updated | Jul 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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