Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Ruth Dickerson, LCMHCS, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780816603

Katherine Ruth Dickerson, LCMHCS, LCAS, CCS is an Addiction (Substance Use Disorder) Counselor in Denver, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
Specialties on file
4

Practice location Address checks out

7490 Waterside Crossing Blvd Ste 2A
Denver, NC 28037-3004
Phone: (704) 360-3637
Fax: (704) 625-9789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 122 Gateway Blvd Ste C, Mooresville, NC 28117-5544 — (704) 360-3637

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S9956 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-1406 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CCS-10965 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence CCS-10965 (NC)

Record details

NPI number1780816603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCS , LCAS , CCS
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

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