Individual provider · Type 1 NPI

Legregory Jerome Dykes Sr., PSYCHOMETRIST

Mental Health Counselor · Fort Stewart, GA

NPI number 1376943886 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Phlebotomy Technician 246RP1900XNone listed

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About NPI 1376943886

Legregory Jerome Dykes Sr., PSYCHOMETRIST's National Provider Identifier is 1376943886, issued on Sep 3, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Stewart, GA. The record was last updated on Sep 10, 2014.