Provider Demographics
NPI:1023616349
Name:WESTBROOK-DICKER, AMBER (MED, LPC, CCTP, NCC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:WESTBROOK-DICKER
Suffix:
Gender:F
Credentials:MED, LPC, CCTP, NCC
Other - Prefix:
Other - First Name:AMBER LYNN
Other - Middle Name:
Other - Last Name:DICKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LPC, CCTP, NCC
Mailing Address - Street 1:101 SEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2315
Mailing Address - Country:US
Mailing Address - Phone:803-328-9300
Mailing Address - Fax:
Practice Address - Street 1:101 SEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2315
Practice Address - Country:US
Practice Address - Phone:803-328-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health