Provider Demographics
NPI:1376660753
Name:DICKARD, DELISE B (LPC)
Entity Type:Individual
Prefix:DR
First Name:DELISE
Middle Name:B
Last Name:DICKARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:DELISE
Other - Last Name:BATTENFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:207 AMELIA ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3817
Mailing Address - Country:US
Mailing Address - Phone:540-371-4000
Mailing Address - Fax:540-371-4000
Practice Address - Street 1:207 AMELIA ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3817
Practice Address - Country:US
Practice Address - Phone:540-371-4000
Practice Address - Fax:540-371-4000
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003277101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional