Individual provider · Type 1 NPI

Staccotta Dickerson

Counselor · Princeton, WV

NPI number 1073440798 Active

Practice location

200 12th Street Ext
Princeton, WV 24740-2329

Call (304) 425-9541 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1740234673 (WV)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073440798

Staccotta Dickerson's National Provider Identifier is 1073440798, issued on May 6, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Princeton, WV. The record was last updated on May 6, 2026.