IndividualActive
Thad Dickson, CPHIMS, PMP
NPI 1386930733 · Other Specialist/Technologist · Lakebay, WA
Provider details
- NPI number
- 1386930733
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CPHIMS, PMP
- Sex
- Male
- Sole proprietor
- No
- License
- CPHIMS - 1592 (WA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
16511 34th Street Kp N
Lakebay, WA 98349-9774
Phone: (253) 651-7482
Approximate (ZIP-level) locationGet directions
Mailing address
16511 34th Street Kp N
Lakebay, WA 98349-9774
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2014-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.