Individual provider · Type 1 NPI

Tyshawn Dickerson

Addiction (Substance Use Disorder) Counselor · Cambridge, OH

NPI number 1417879735 Active

Practice location

841 Steubenville Ave
Cambridge, OH 43725-2301

Specialties and licenses

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

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

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About NPI 1417879735

Tyshawn Dickerson's National Provider Identifier is 1417879735, issued on Jul 28, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cambridge, OH. The record was last updated on Jul 28, 2026.