Provider Demographics
NPI:1689629305
Name:SKIPPER, DOROTHY DICKSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:DICKSON
Last Name:SKIPPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106
Mailing Address - Country:US
Mailing Address - Phone:334-320-5330
Mailing Address - Fax:334-271-5765
Practice Address - Street 1:1609 WEST ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-320-5330
Practice Address - Fax:334-271-5765
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional