Individual provider · Type 1 NPI

Alexis Dickerson

Mental Health Counselor · Omaha, NE

NPI number 1336737527 Active

Practice location

2126 N 117th Ave
Omaha, NE 68164-3670

Mailing address

14924 Manderson Plz Apt 302
Omaha, NE 68116-6289

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12424 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1336737527

Alexis Dickerson's National Provider Identifier is 1336737527, issued on Jan 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Jan 4, 2021.