Individual provider · Type 1 NPI

Shammika Reneara Dickerson

Addiction (Substance Use Disorder) Counselor · Boston, MA

NPI number 1194483719 Active

Practice location

66 Canal St Fl 4
Boston, MA 02114-2002

Mailing address

129 Franklin St Apt 106
Cambridge, MA 02139-4100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194483719

Shammika Reneara Dickerson's National Provider Identifier is 1194483719, issued on Dec 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Dec 1, 2021.