Individual provider · Type 1 NPI

Johnice Dickerson, CRC, PCMHT

Mental Health Counselor · Tupelo, MS

NPI number 1609967918 Active

Practice location

Region III Mental Health Center, 2434 South Eason Blvd
Tupelo, MS 38804-6942

Fax (662) 680-6416

Mailing address

441 Northdale Drive
Columbus, MS 39705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609967918

Johnice Dickerson, CRC, PCMHT's National Provider Identifier is 1609967918, issued on Sep 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Jul 8, 2007.