Individual provider · Type 1 NPI

Benjain Patrick Dickerson

Professional Counselor · Glendale, AZ

NPI number 1376417469 Active

Practice location

21448 N 75th Ave Ste 6
Glendale, AZ 85308-5978

Call (602) 697-5485 Map

Mailing address

211 E Mail Trail Rd
Young, AZ 85554-0689

Other practice locations

  • 8700 E Vista Bonita Dr Ste 236, Scottsdale, AZ 85255-3202 · (602) 697-5485

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLAC-22436 (AZ)

Professional Counselor: Definition to come...

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About NPI 1376417469

Benjain Patrick Dickerson's National Provider Identifier is 1376417469, issued on Oct 1, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, AZ. The record was last updated on Oct 1, 2025.