Individual provider · Type 1 NPI

Shannon Nicole Dickerson

Mental Health Counselor · Concord, CA

NPI number 1083749758 Active

Practice location

1034 Oak Grove Rd
Concord, CA 94518-3225

Mailing address

1730 Nuala St
Concord, CA 94518-3310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083749758

Shannon Nicole Dickerson's National Provider Identifier is 1083749758, issued on Feb 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, CA. The record was last updated on Jul 8, 2007.