Katherine Ruth Pedraza Dickerson MS, LCAS

NPI 1780816603 - Counselor - 101YA0400X

NPI Details
NPI 1780816603
Gender Female
Enumeration Date 08/11/2009
Last Updated 10/04/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
100 BILLINGSLEY RD
CHARLOTTE NC, 28211-1002, US
Phone (704) 927-8783
Fax (704) 376-3384
Business Location
100 BILLINGSLEY RD
CHARLOTTE NC, 28211-1002, US
Phone (704) 927-8783
Fax (704) 376-3384
Toxanomy
Taxonomy Code 101YA0400X
License State North Carolina
License Number 1406
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According to our database, Katherine Ruth Pedraza Dickerson MS, LCAS NPI is 1780816603, taxonomy code is 101YA0400X and license number is 1406, license state is located at North Carolina. Katherine Ruth Pedraza Dickerson MS, LCAS physically located at 100 Billingsley Rd, Charlotte NC, 28211-1002. NPI Number Katherine Ruth Pedraza Dickerson MS, LCAS has the Individual type.

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1780816603 NPI number is provided on an as is basis without warranty of any kind. 1780816603 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Ruth Pedraza Dickerson MS, LCAS are for informational purposes only.