Mark Dickmann, Msw, Lcsw, Llc | |
2855 Main Ave Suite A-107 Durango CO 81301-5956 | |
(970) 259-5711 | |
Not Available |
Full Name | Mark Dickmann, Msw, Lcsw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2855 Main Ave, Durango, Colorado |
Authorized Official Name and Position | Mark R. M. Dickmann (PSYCHOTHERAPIST) |
Authorized Official Contact | 9702595711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Dickmann, Msw, Lcsw, Llc 2855 Main Ave Suite A-107 Durango CO 81301-5956 Ph: (970) 259-5711 | Mark Dickmann, Msw, Lcsw, Llc 2855 Main Ave Suite A-107 Durango CO 81301-5956 Ph: (970) 259-5711 |
NPI Number | 1255737581 |
---|---|
Provider Enumeration Date | 11/13/2014 |
Last Update Date | 11/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255737581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1741 (Colorado) | Primary |
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