Individual provider · Type 1 NPI

Shannon Dickerson

Professional Counselor · Fairbanks, AK

NPI number 1669037461 Active

Practice location

542 4th Ave Ste B101
Fairbanks, AK 99701-4707

Call (907) 374-1097 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1669037461

Shannon Dickerson's National Provider Identifier is 1669037461, issued on May 7, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairbanks, AK. The record was last updated on Mar 6, 2020.