Individual provider · Type 1 NPI
Derrick T. Dicker, M.H.S.
Mental Health Counselor · Philadelphia, PA
NPI number
1669737029
Active
Practice location
4803 Woodland Ave
Philadelphia, PA 19143-4433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 251S00000X (PA) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1669737029
Derrick T. Dicker, M.H.S.'s National Provider Identifier is 1669737029, issued on Jul 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 11, 2012.