Dickenson, Mia
Dickenson, Mia is an individual health care provider with primary practice located at 500 N Morain St Ste 1250 , Kennewick WA 99336-2967. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Peer Specialist is her primary health care specialty. Dickenson, Mia can be contacted via phone (509) 492-1566.Contact Information
Primary practice address
500 N Morain St Ste 1250
Kennewick WA 99336-2967
Phone: (509) 492-1566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1902441496 |
|---|---|
| LBN Legal business name | Dickenson, Mia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2019 |
| Last updated | Nov 27th, 2019 - about 7 years ago |
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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