Individual provider · Type 1 NPI

Nicole Dickerson

Peer Specialist · Lincoln City, OR

NPI number 1184407629 Active

Practice location

1345 NW 15th St
Lincoln City, OR 97367-3327

Call (541) 574-9570 Map

Fax (541) 574-8857

Mailing address

PO Box 1538
Newport, OR 97365-0115

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X22-CRM-1313 (OR)

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.

3 other providers at this address

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About NPI 1184407629

Nicole Dickerson's National Provider Identifier is 1184407629, issued on Aug 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lincoln City, OR. The record was last updated on Aug 17, 2023.