Individual provider · Type 1 NPI

Charles Dickerman, LMFT, CADC III, SUDP

Marriage & Family Therapist · Portland, OR

NPI number 1548433261 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Call (503) 249-3434 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11-06-19 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XCP60796757 (WA)
Marriage & Family Therapist Primary 106H00000XT0866 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1548433261

Charles Dickerman, LMFT, CADC III, SUDP's National Provider Identifier is 1548433261, issued on Apr 3, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Dec 27, 2023.