Most Relevant Information
Provider Data
NPI Number: | 1003358698 |
Provider Name: | LEIGH DICKS LCPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | BBH-LCPC-LIC-19614 |
Most Important Dates
Enumeration Date: | 11/14/2016 |
Last Updated: | 03/23/2023 |
Provider Practice Location
30723 MT HIGHWAY 209
BIGFORK
MT
599116627
Practice Location Phone/Fax
Phone: | 4062407435 |
Fax: |
Provider Mailing Location
PO BOX 1493
BIGFORK
MT
599111493
Provider Mailing Phone/Fax
Phone: | 4062407435 |
Fax: |