Individual provider · Type 1 NPI

Colton Dickerson

Peer Specialist · Marion, OH

NPI number 1093694119 Active

Practice location

1199 Delaware Ave
Marion, OH 43302-6475

Mailing address

254 S High St
Caledonia, OH 43314-7723

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTY824496 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1093694119

Colton Dickerson's National Provider Identifier is 1093694119, issued on Sep 2, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Marion, OH. The record was last updated on Sep 2, 2025.