Individual provider · Type 1 NPI

Jermaine Dickerson

Mental Health Counselor · Sylmar, CA

NPI number 1669657979 Active

Practice location

13192 Herrick Ave
Sylmar, CA 91342-3931

Call (818) 367-3235 Map

Mailing address

3943 Denker Ave
Los Angeles, CA 90062-1141

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1669657979

Jermaine Dickerson's National Provider Identifier is 1669657979, issued on Jan 4, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sylmar, CA. The record was last updated on Jan 4, 2008.