Individual provider · Type 1 NPI

Erich Dickerson

Mental Health Counselor · Gary, IN

NPI number 1619381035 Active

Practice location

1100 W 6th Ave
Gary, IN 46402-1711

Mailing address

14723 South Lasalle Avenue
Dolton, IL 60419

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619381035

Erich Dickerson's National Provider Identifier is 1619381035, issued on Jun 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gary, IN. The record was last updated on Jun 13, 2014.