Provider Demographics
NPI:1720480999
Name:DICKENS, ALLISON (LPC)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:DICKENS
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 1:144 BALDWIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3873
Mailing Address - Country:US
Mailing Address - Phone:973-896-4228
Mailing Address - Fax:
Practice Address - Street 1:144 BALDWIN ST
Practice Address - Street 2:APT 2
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3873
Practice Address - Country:US
Practice Address - Phone:973-896-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor