Individual provider · Type 1 NPI
Erin Alyssa Dickerman, BSW
Counselor · New London, CT
NPI number
1437368164
Active
Practice location
7 Vauxhall St
New London, CT 06320
Fax (860) 701-3776
Mailing address
41 Bolivia St
Willimantic, CT 06226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1437368164
Erin Alyssa Dickerman, BSW's National Provider Identifier is 1437368164, issued on May 21, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New London, CT. The record was last updated on Jul 8, 2007.