Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 14518 | NC |
N | 101YM0800X | Mental Health Counselor | A14518 | NC |
N | 101YP1600X | Pastoral Counselor | A14518 | NC |
NPI | 1235782186 |
---|---|
Provider Name | Sharon Dickey |
First Address | Wilmington, NC 28411-9005 |
Second Address | Wilmington, NC 28412-6431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2019 |
Last Update Date | 19/10/2021 |