Individual provider · Type 1 NPI
Jennifer Dickerson, LPC-INTERN
Professional Counselor · Dallas, TX
NPI number
1396010765
Active
Practice location
6750 Hillcrest Plaza Dr, Suite 221
Dallas, TX 75230-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63800 (TX) |
Professional Counselor: Definition to come...
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About NPI 1396010765
Jennifer Dickerson, LPC-INTERN's National Provider Identifier is 1396010765, issued on Mar 17, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Mar 17, 2012.