Individual ProviderLeonard DicksonCounselorBehavioral Health & Social Service ProvidersPractice Address4771 S Main St, Los Angeles, CA 90037-3250(323) 233-3342PECOS EnrollmentBased on the most recent information from CMS, provider Leonard Dickson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1295272516Provider TypeIndividualFull NameDickson, LeonardGenderMaleSole ProprietorNoEnumeration Date1/24/2017Last Updated1/24/2017Contact InformationPractice LocationPractice Address4771 S Main St, Los Angeles, CA 90037-3250Phone(323) 233-3342FaxUnlisted FaxMailing LocationMailing Address4771 S Main St, Los Angeles, CA 90037-3250Phone(323) 233-3342FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseC29991214California