Dickenson, Stacy

Dickenson, Stacy is an individual health care provider with primary practice located at 203 N State St , North Vernon IN 47265-2454. 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. Dickenson, Stacy can be contacted via phone (812) 220-5157.

Contact Information

Primary practice address
203 N State St North Vernon IN 47265-2454
Phone: (812) 220-5157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972179620
LBN Legal business name Dickenson, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2021
Last updated Jun 2nd, 2021 - about 5 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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